Retinopathy with renal failure
Keywords:Malignant hypertension, Retinopathy, Chronic renal failure.
About 1% of people with hypertension develops hypertensive crisis over some point of life period. Report a case on malignant hypertension with grade II retinopathy and renal failure. A patient with a known case of hypertension for past 5 years was admitted with complaints of headache, orthopnoea, difficulty in breathing and an elevated BP of 220/110 mm Hg and was diagnosed to have malignant hypertension. The patient was referred to ophthalmologist on the second day. The fundus examination showed grade II hypertensive retinopathy. On laboratory investigation serum creatinine and urea level was elevated, urine analysis showed moderate albuminuria, with decreased Glomerular filtration rate and patient was diagnosed to have stage 3 Chronic kidney disease. The patient was treated with a triple combination of Angiotensin Receptor Blocker (ARB) + Calcium channel blocker (CCB) + β blocker, diuretics, centrally acting antihypertensive, statin and antiplatelet agent. Blood pressure was subsided followed by gradual improvement in visual acuity.
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Copyright (c) 2017 Catherin T.J., Blessy Rachel Thomas, Annamol Joseph, Apollo James, Haja Sherief S, T Sivakumar
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