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¹M.D. Bozyaka Training and Research Hospital Eye Clinic, Izmir/TURKEY
²M.D. Sifa University Medical Faculty Departmrnt of Ophthalmology, Izmir/TURKEY
³M.D. Dokuz Eylul University Faculty of Medicine, Department of Ophthalmology, Izmir/TURKEY
⁴M.D. Associate Professor, Bozyaka Training and Research Hospital Eye Clinic, Izmir/TURKEY In this study, we present a young man who applied to our ophthalmology outpatient clinic with the complaints of ambliyopia without the knowledge of any preexisting systemic illness and diagnosed with incidental malignant hypertension. Fundus examination revealed optic disc hyperemia and slightly swollen disk borders, diffuse macular edema, flame-shaped hemorrhages, contraction in the arterioles, venous dilatation, soft and hard exudates, and macular star bilaterally. Systemic blood pressure was measured as 240/120 mmHg (systolic and diastolic). Urea and creatinine levels were found to be increased in laboratory investigations. Patient was referred to department of pediatrics and was taken into hemodialysis program with the diagnosis of renal failure. One month after the initial hemodialysis treatment, vision was increased and fundus findings was regressed. The aim of this presentation is to emphasize the importance of fundus examination. Fundoscopic examination should be performed in all patients presented to the ophthalmology clinics. Keywords : Malignant hypertension, renal failure, retinopathy