DR. ADITI AGARWAL

DR. S. BALA MURUGAN

Abstract

Hypertension is a risk factor for many systemic conditions that cause serious morbidity and mortality. HTN can affect the eyes in several ways such as CRAO,NA-AION, retinopathy and choroidopathy. Here, we present a case series of 3 patients of hypertensive choroidopathy masquerading as bilateral Neuroretinitis. 1st patient presented with sudden loss of vision since 1 week. His anterior segment findings were within normal limits. The fundus findings of OU revealed disc edema with macular star. The differential diagnosis of B/L Neuroretinitis and HTN Choroidopathy was made. Patients blood pressure was noted to be 200/130 mmHg and other fundus finding such as A-V crossing and Elschnig spots were noted. The other two patients also presented with similar complaints. A diagnosis of HTN Choroidopathy was arrived at. ICGA could not be done as patients blood pressure was high. Thus, Blood pressure measurement and detailed fundus examination is vital for diagnosing HTN Choroidopathy.