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Year : 2022  |  Volume : 2  |  Issue : 2  |  Page : 434-436

Malignant hypertension in a child - What lies beneath?

1 Paediatric Ophthalmology Services, Aravind Eye Hospital, Madurai, Tamil Nadu, India
2 Neuro Ophthalmology Services, Aravind Eye Hospital, Madurai, Tamil Nadu, India
3 Department of Retina and Vitreous services, Aravind Eye Hospital, Madurai, Tamil Nadu, India

Correspondence Address:
Marushka Aguiar
Department of Paediatric Ophthalmology, Aravind Eye Hospital and Post Graduate Institute of Ophthalmology, Madurai - 625 020, Tamil Nadu
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ijo.IJO_1746_21

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We report a case of a 7-year-old girl presenting to the Neuro-Ophthalmology OPD with only complaints of chronic headache who was found to have malignant (grade 4) hypertensive retinopathy. Visual acuity was 20/400 in the right eye and 20/80 in the left eye. Blood pressure was 220/120 mm Hg. The patient was not a known hypertensive. Fundoscopy revealed bilateral optic disc swelling, macular stars, and serous retinal detachment in both eyes. The patient was urgently referred to pediatrician for detailed evaluation and systemic control of hypertension. This emphasizes the need for checking blood pressure in children presenting with chronic headache.

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