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Case Six : Hypertensive Papillitis
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| Color fundus photo of the right eye reveals optic nerve hyperemia, edema, peripapillary hemorrhages and hard exudate in the fovea | Color fundus photo of the left optic nerve with severe edema, hard exudate and very narrowed vasculature. |
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| Red free photo of the right eye highlights hemorrhages, edema and hard exudate. | In the red free photo of the left eye the area of edema extends to the foveal region. |
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| Early fluorescein angiogram (37.9 sec) of the left eye reveals patchy choroidal filling and hypertensive vascular changes. | Late phase fluorescein angiogram (4 min. 53.5 sec) of the right eye shows diffuse leakage of fluorescein dye due to severe disc edema |
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This case is of a 47 y.o. B.M. with severe hypertension ( 247/147 ) complicated by polysubstance abuse. He is homeless and has left his hypertension untreated. His visual acuity was 20/80 in each eye two weeks after starting therapy for hypertension, when these photos were taken.
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Photo credit: , Director of Photography/Webmaster- Southeastern Eye Center |
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