Medical Case of the Month
A 54-year-old Asian male came to our clinic with complaints of blurred vision in his right eye. During the exam, he did not report any history of hypertension or diabetes. But, in a recent visit to a local health clinic, his systolic blood pressure was over 200 (malignant hypertension is blood pressure above 180/120).
During our exam, a posterior segment evaluation revealed a large vitreous hemorrhage overlying the macula in the right eye along with multiple retinal issues in both eyes. We instructed him to go to the emergency room as soon as possible to double check his blood pressure. Due to the large hemorrhage in the right eye and signs of retinal hypoxia (low oxygen), we also recommended a work-up up for diabetes, due to the high probability that both problems existed. Additionally, we referred the patient to a retinal specialist to identify the source of the hemorrhage and further treat the retinopathy in both eyes.
We currently are awaiting an update on the patient's ocular and systemic health. If malignant hypertension and/or diabetes are present, his eye exam could have identified grave problems and helped him get treatment to improve, and possible save, his life.
This case demonstrates yet another example of how Eye Care Hawaii can help not just your vision, but your overall health. Call our office today and schedule your next appointment or eye exam.