title: Multimodal Imaging of Elschnig Spots: A Case of Simultaneous Hypertensive Retinopathy, Choroidopathy, and Neuropathy.
abstract: A 65-year-old woman with chronic hypertension, chronic renal insufficiency, and schizophrenia self-discontinued her medications and presented complaining of decreased vision; she was found to have a blood pressure of 256/156 and visual acuity 20/70 OD. In the emergency department, her blood pressure was rapidly lowered to a nadir of 134/104. During the course of her hospitalization, her visual acuity declined from 20/70 to 20/200 OD in parallel with a decline in her renal function. Multi-modal imaging revealed simultaneous hypertensive retinopathy, choroidopathy, and optic neuropathy. Autofluorescence can play an important role in the diagnosis of hypertensive choroidopathy.
authors.affiliation: a Retina Service, Massachusetts Eye and Ear Infirmary , Harvard Medical School Department of Ophthalmology , Boston , MA , USA.
authors.forename: Tomasz P
authors.initials: TP
authors.lastname: Stryjewski
authors.affiliation: a Retina Service, Massachusetts Eye and Ear Infirmary , Harvard Medical School Department of Ophthalmology , Boston , MA , USA.
authors.forename: Thanos D
authors.initials: TD
authors.lastname: Papakostas
authors.affiliation: a Retina Service, Massachusetts Eye and Ear Infirmary , Harvard Medical School Department of Ophthalmology , Boston , MA , USA.
authors.forename: Dean
authors.initials: D
authors.lastname: Eliott
mesh_terms: D000368:Aged; D015862:Choroid Diseases / Q000150:complications / Q000175:diagnosis*; D005260:Female; D005451:Fluorescein Angiography / Q000379:methods*; D005654:Fundus Oculi; D006801:Humans; D058437:Hypertensive Retinopathy / Q000150:complications / Q000175:diagnosis*; D064847:Multimodal Imaging / Q000379:methods*; D009901:Optic Nerve Diseases / Q000150:complications / Q000175:diagnosis*; D014792:Visual Acuity