DR. NEETI AGRAWAL

DR. BRATATEE ROY, DR. SONICA DEVI HENAM

Abstract

Case : A 40 year old male presented with sudden, painless, progressive loss of vision in both eyes for a week. He had no previously diagnosed systemic illness. On examination, visual acuity was 6/60 in right eye and hand movement in left eye. Dilated fundoscopy revealed, subretinal yellowish mass in right eye and exudative retinal detachment in left eye, with associated disc edema. Blood pressure was raised to 190/ 120 mm Hg, which patient was unaware of. Patient was immediately started on antihypertensives and referred to medicine opd. Mass resolved in a period of 2 weeks in right eye. Retinal detachment settled in left eye, by 4 weeks, with persistent disc pallor. Visual acuity improved in right eye to 6/12 and 6/36 in left eye.

Conclusion : Undiagnosed hypertension remains an important cause of exudative retinal detachment. Strict blood pressure control, can reverse retinal exudation and subretinal fluid accumulation.

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