Retina-Vitreous
2024 , Vol 33 , Num 1
Severe outer nuclear layer hemorrhage secondary to malignant hypertension: A case report
1MD, Biruni University Hospital, Department of Ophthalmology, Faculty, Istanbul, Türkiye2MD, Assoc. Prof., Biruni University Hospital, Ophthalmology, Istanbul, Türkiye DOI : 10.37845/ret.vit.2024.33.12 Purpose: To report the first case of malignant hypertension who presented with severe outer nuclear layer hemorrhage affecting the fovea and had rapid recovery in findings after intravitreal injection of bevacizumab.
Case Report: A 72-year-old woman presented with complaints of blurred vision in her left eye. An extensive systemic and ophthalmic examination confirmed the diagnosis of outer nuclear layer hemorrhage caused by malignant hypertension. An intravitreal injection of bevacizumab (1.25 mg/0.05 mL) was administered to the left eye. The outer nuclear layer hemorrhage completely resolved three weeks after intravitreal bevacizumab injection treatment, and the visual acuity improved significantly.
Conclusion: Malignant hypertensive retinopathy may present with outer nuclear layer hemorrhage affecting the fovea and intravitreal anti-VEGF therapy may be beneficial in these cases.
Keywords : Malignant Hypertension, Outer Nuclear Layer Hemorrhage, Hypertensive Retinopathy