{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,11]],"date-time":"2026-06-11T05:10:00Z","timestamp":1781154600578,"version":"3.54.1"},"reference-count":9,"publisher":"BMJ","issue":"12","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2023,11,21]]},"published-print":{"date-parts":[[2023,12]]},"abstract":"<jats:p>A woman in her 30s presented with complaints of sudden onset of defective vision in the right eye for 2\u2009days, with history of headache for a month. On examination, best corrected visual acuity was 20\/40 in the right eye and 20\/20 in the left eye. Anterior segment examination was normal. Fundus examination of both the eyes showed generalised arteriolar attenuation with diffuse, hyperaemic disc oedema and serous retinal detachment at macula in the right eye. Her blood pressure (BP) was 230\/140\u2009mm Hg. Other systemic evaluation was unremarkable. In the review visit, patient\u2019s BP reduced to 140\/100\u2009mm Hg, and visual acuity in the right eye improved to 20\/20. Fundus in the right eye showed resolving disc oedema with macular star formation, and the left eye had developed soft exudates. This seemed to confirm the diagnosis of the disc oedema being caused by hypertension and a highly asymmetrical presentation of hypertensive retinopathy.<\/jats:p>","DOI":"10.1136\/bcr-2023-255723","type":"journal-article","created":{"date-parts":[[2023,12,7]],"date-time":"2023-12-07T19:15:30Z","timestamp":1701976530000},"page":"e255723","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["Atypical presentation of malignant hypertension"],"prefix":"10.1136","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6704-7386","authenticated-orcid":false,"given":"Subashree","family":"Palani","sequence":"first","affiliation":[{"name":"Ophthalmology, Karpaga Vinayaga Institute of Medical Science and Research Center, Maduranthagam, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0584-6633","authenticated-orcid":false,"given":"Deborah","family":"Rinita","sequence":"additional","affiliation":[{"name":"Ophthalmology, Shri Sathya Sai Medical College and Research Institute, Nellikuppam, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amjad","family":"Salman","sequence":"additional","affiliation":[{"name":"Retina, Institute of Ophthalmology Joseph Eye Hospital, Tiruchirappalli, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2023,12,7]]},"reference":[{"key":"2025082709173431000_16.12.e255723.1","doi-asserted-by":"crossref","DOI":"10.1161\/JAHA.121.023397","article-title":"Malignant hypertension: current perspectives and challenges","volume":"11","author":"Boulestreau","year":"2022","journal-title":"J Am Heart Assoc"},{"key":"2025082709173431000_16.12.e255723.2","unstructured":"Modi P , Arsiwalla T . 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