Atlas of Ophthalmology

Effect of Blood Pressure Reduction in Hypertensive Retinopathy in Renal Artery Stenosis (Time Course of 3 Months, Colour Photography Posterior Pole, OCT, FFA)

Hypertensive Retinopathy -> Retinal Cotton-wool Spots in Hypertensive Retinopathy
Patient: Ocular Medical History: decreased vision at both eyes. General Medical History: no known arterial hypertension , after thorough medical examination renal artery stenosis. Main Complaint: loss of vision. Purpose: to demonstrate the effect of blood pressure reduction in hypertensive retinopathy. Methods: Colour Photography Posterior Pole before and after therapy, OCT before and after therapy, FFA before therapy. Findings: Colour photography posterior pole before therapy : papilledema, hard exsudates, multiple retinal hemorrhages, Cotton-Wool-spots, retinal edema. Colour photography posterior pole 3 months after therapy : no papilledema, hard exsudates, diminuished retinal hemorrhages and Cotton-Wool-spots, no retinal edema. FFA before therapy : exsudative optic nerve head, broadened retinal vessels. OCT before therapy : retinal edema, hard exsudates, retinal detachement. OCT after therapy : hard exsudates, no retinal edema, no retinal detachement. Discussion:-. Literature:-.

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