title: Massive bilateral serous retinal detachment in a case of hypertensive chorioretinopathy.
abstract: BACKGROUND
  Systemic high blood pressure is related to a variety of retinal manifestations. We present an atypical case of hypertensive chorioretinopathy with massive bilateral serous retinal detachment.
  
  
  METHODS
  A 26-year-old male with a genitourinary malformation and secondary grade IV chronic kidney failure as well as high blood pressure complained of acute vision loss. Dilated fundus examination evidenced a bilateral serous retinal detachment with macular involvement. The patient was unresponsive to oral antihypertensive therapy and dialysis treatment. The serous retinal detachment progressively decreased after the restoration of dialysis and antihypertensive therapy. The final visual acuity was 0.50 in both eyes.
  
  
  CONCLUSIONS
  In cases of serous macular detachment, it is mandatory to rule out different systemic and ocular diseases. The presence of uncontrolled high blood pressure may produce aggressive bilateral retinal changes, thus hypertension must be under early and strict control in order to improve the visual outcomes.
authors.affiliation: Department of Ophthalmology, Hospital Punta Europa, Algeciras, University and Polytechnic Hospital La Fe, Valencia, Spain.
authors.forename: Luis
authors.initials: L
authors.lastname: Villalba-Pinto
authors.affiliation: Department of Ophthalmology, Hospital Punta Europa, Algeciras, University and Polytechnic Hospital La Fe, Valencia, Spain.
authors.forename: M Ángeles
authors.initials: MÁ
authors.lastname: Hernández-Ortega
authors.affiliation: Department of Ophthalmology, Hospital Punta Europa, Algeciras, University and Polytechnic Hospital La Fe, Valencia, Spain.
authors.forename: F Javier Lavid
authors.initials: FJ
authors.lastname: de Los Mozos
authors.affiliation: Unit of Macula, Department of Ophthalmology, University and Polytechnic Hospital La Fe, Valencia, Spain.
authors.forename: Isabel
authors.initials: I
authors.lastname: Pascual-Camps
authors.affiliation: Unit of Macula, Department of Ophthalmology, University and Polytechnic Hospital La Fe, Valencia, Spain.
authors.forename: Rosa
authors.initials: R
authors.lastname: Dolz-Marco
authors.affiliation: Retina Division, Wilmer Eye Institute, Johns Hopkins University School of Medicine, Baltimore, Md., USA ; King Khaled Eye Specialist Hospital, Riyadh, Kingdom of Saudi Arabia.
authors.forename: J Fernando
authors.initials: JF
authors.lastname: Arevalo
authors.affiliation: Unit of Macula, Department of Ophthalmology, University and Polytechnic Hospital La Fe, Valencia, Spain.
authors.forename: Roberto
authors.initials: R
authors.lastname: Gallego-Pinazo
keywords: Hypertensive chorioretinopathy; Optical coherence tomography; Serous retinal detachment