ABSTRACT A 35-year-old male presented with the chief complaint of sudden blurred vision in both eyes for 15 days. He was a known case of chronic kidney disease for 4 years and on dialysis for 6 months. On examination, the visual acuity was 6/9 in the right eye and 6/24 in the left eye (LE). Fundus examination revealed multiple hard exudates with dot blot and flame-shaped hemorrhages in both eyes. Optical coherence tomography (OCT) examination showed both eyes subretinal fluid with intraretinal fluid and multiple hyper-reflective foci. The blood pressure (BP) measured was 180/90 mmHg. Based on these findings, a diagnosis of both eyes hypertensive chorioretinopathy was made, and the patient was advised both eyes intravitreal antivascular endothelial growth factor injection (Razumab) along with urgent physician review for control of BP. On further follow-ups, there was a reduction in fluid at the macula in both eyes with improvement in visual acuity. The BP was also under control. The patient is followed up regularly for ophthalmic examination.
Udit Ajmani (Thu,) studied this question.