Bilateral hypertensive retinopathy (grade 4): Case report and review of the literature on intravitreal injection anti-VEGF therapy.
Yang Jianjun
✦ AI-curated · Sources linked
Case in brief
Three patients with bilateral grade 4 hypertensive retinopathy and macular edema were assessed by fundus examination and treated with intravitreal anti-VEGF injections. After treatment, macular edema and optic nerve edema were reduced, and visual acuity improved. The report also identified secondary choroidal neovascularization in a patient with grade 4 hypertensive retinopathy. The authors described the treatment response as satisfactory but incomplete; the abstract does not provide further patient-level diagnostic or outcome details.
What made this case unusual
The report notes secondary choroidal neovascularization in the setting of grade 4 hypertensive retinopathy, alongside bilateral macular and optic nerve edema.
Diagnostic / clinical pearl
In severe hypertensive retinopathy, assess for macular edema, optic nerve edema, and secondary choroidal neovascularization; the reported patients showed improvement in edema and visual acuity after intravitreal anti-VEGF treatment.