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 Table of Contents  
Year : 2021  |  Volume : 1  |  Issue : 4  |  Page : 877

Hypertensive retinopathy in a school-going child

Gurunanak Eye Centre, Maulana Azad Medical College, New Delhi, India

Date of Web Publication09-Oct-2021

Correspondence Address:
Dr. Abhilasha Sanoria
G-242, Sector 22, Noida - 201 301, Uttar Pradesh
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ijo.IJO_225_21

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How to cite this article:
Jain P, Arora R, Sanoria A, Tomar V. Hypertensive retinopathy in a school-going child. Indian J Ophthalmol Case Rep 2021;1:877

How to cite this URL:
Jain P, Arora R, Sanoria A, Tomar V. Hypertensive retinopathy in a school-going child. Indian J Ophthalmol Case Rep [serial online] 2021 [cited 2021 Oct 28];1:877. Available from: https://www.ijoreports.in/text.asp?2021/1/4/877/327725

A 7-year-old girl was referred after a routine school vision screening with bilateral vision loss. There were no systemic complaints. Fundus showed bilateral and asymmetric macular exudates, severe optic disk edema with dilated veins, and multiple superficial flame-shaped hemorrhages [Figure 1]. Blood pressure monitoring revealed elevated readings (>180/140). She was then admitted, her blood pressure normalized, and comprehensive evaluation revealed renovascular pathology. Malignant hypertensive retinopathy in children has been described, but incidence is rare.[1],[2],[3] Moreover, it remains underdiagnosed. Thus, the purpose of this report is to raise awareness for its early diagnosis and treatment for preventing or reducing chronic end-organ damage.[3],[4]
Figure 1: Bilateral and asymmetric macular exudates (white arrows), severe optic disk edema (red arrows) with dilated veins (black arrows), and multiple superficial flame-shaped hemorrhages

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Declaration of patient consent

The authors certify that they have obtained all appropriate patient consent forms. In the form the patient(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.

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Conflicts of interest

There are no conflicts of interest.

  References Top

Guyomard JL, Jacob H, Roche O, Pierre-Kahn V, Charlin JF. [An atypical case of malignant hypertensive retinopathy in a young child]. J Fr Ophtalmol 2004;27:57-62.  Back to cited text no. 1
Leavitt JA, Pruthi S, Morgenstern BZ. Hypertensive retinopathy mimicking neuroretinitis in a twelve-year-old girl. Surv Ophthalmol 1997;41:477-80.  Back to cited text no. 2
Yıldırım A, Mehmet Türkcü F, Yüksel H, Sahin A, Cınar Y, Caça I. Diagnosis of malignant hypertension with ocular examination: A child case. Semin Ophthalmol 2014;29:32-5.  Back to cited text no. 3
Tibbetts MD, Wise R, Forbes B, Hedrick HL, Levin AV. Hypertensive retinopathy in a child caused by pheochromocytoma: Identification after a failed school vision screening. J AAPOS 2012;16:97-9.  Back to cited text no. 4


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