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Scholars Journal of Medical Case Reports | Volume-14 | Issue-07
Hypertensive Chorioretinopathy Revealinga Renal Failure
Alfeddy Maria, Assiya Lemkhoudem, Amine Laalou, Salaheddine Bouabbadi, El Houssaine Ait Lhaj, Fouad El Asri.
Published: July 3, 2026 | 16 16
DOI: https://doi.org/10.36347/sjmcr.2026.v14i07.002
Pages: 1620-1622
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Abstract
A 30-year-old man presented with rapidly progressive bilateral visual loss. Fundus examination revealed grade IV hypertensive retinopathy with optic disc edema, macular star, cotton-wool spots, retinal hemorrhages, and serous retinal detachment. Fluorescein angiography demonstrated delayed choroidal and retinal perfusion with areas of capillary nonperfusion. Systemic evaluation showed malignant hypertension (210/150 mmHg) associated with renal insufficiency. Further nephrological investigations established renal failure secondary to pyelocaliceal junction syndrome. Following blood pressure control and hemodialysis, visual acuity improved and retinal lesions partially regressed.