Original ArticlesHYPERTENSIVE OPTIC NEUROPATHY AND CHOROIDOPATHY IN AN 18-YEAR-OLD WOMAN WITH RENAL FAILUREKovach, Jaclyn L. MD Author Information From the Department of Ophthalmology, Bascom Palmer Eye Institute at Naples, Naples, Florida. Supported by the Department of Ophthalmology at the Bascom Palmer Eye Institute, Miami, FL, and an unrestricted grant from Research to Prevent Blindness, Inc., New York, NY. The author has no proprietary interest. Reprint requests: Jaclyn L. Kovach, MD, Bascom Palmer Eye Institute at Naples, 311 9th St. North, Naples, FL 34102; e-mail: [email protected] Retinal Cases & Brief Reports: Spring 2010 - Volume 4 - Issue 2 - p 187-189 doi: 10.1097/ICB.0b013e31819d2641 Buy Metrics AbstractIn Brief Purpose: To describe hypertensive optic neuropathy and choroidopathy caused by renal failure in an 18-year-old woman. Methods: The clinical and angiographic findings of a young patient with hypertensive optic neuropathy and choroidopathy caused by hypertensive emergency secondary to renal failure are described. Results: The patient's visual acuity, bilateral optic nerve swelling, and macular edema improved with blood pressure control. Several small areas of exudative retinal detachment remain. Conclusion: Accelerated or malignant hypertension is a common cause of bilateral optic nerve swelling and exudative retinal detachments. Treatment of systemic hypertension is essential in reversing the ocular manifestations of the condition. An 18-year-old woman presented with sudden bilateral vision loss 1 month after an episode of hypertensive emergency, during which she was diagnosed with renal failure secondary to focal segmental glomerulonephritis. On examination, she had bilateral hypertensive optic neuropathy and choroidopathy. Her vision and fundus appearance improved with blood pressure control. © 2010 Ophthalmic Communications Society, Inc.