Cortés Fernández MS, Martín-Castillejos C, Armario P. [Hypertensive crisis and sudden change of vision in young patients].
HIPERTENSION Y RIESGO VASCULAR 2016;
33:111-3. [PMID:
26847495 DOI:
10.1016/j.hipert.2015.12.004]
[Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/15/2015] [Revised: 12/18/2015] [Accepted: 12/29/2015] [Indexed: 11/25/2022]
Abstract
The sudden change in vision is a medical emergency that must be evaluated immediately to rule out important institutions as systemic vasculitis or ischemic stroke. Its association with hypertensive crisis makes it necessary to rule out accelerated-malignant hypertension, which is accompanied by other retinal disorders (exudates and hemorrhages) and adrenal involvement. Nonarteritic anterior ischemic optic neuropathy (AION) is another entity to consider, as is it not uncommon in the young (12.7% in a series of 848 cases). Its association with hypertension has been described in 32% of cases.
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