Spontaneous bilateral hemorrhagic choroidal detachments associated with malignant hypertension.

PURPOSE:To report the details of a patient with bilateral spontaneous suprachoroidal hemorrhages related to malignant hypertension. METHODS:Observational case report with review of relevant literature. RESULTS:A 62-year-old man with a history of hypertension was referred secondary to bilateral temporal scotomas and persistent headache for 3 days. Symptoms began during an inpatient admission for malignant hypertension. Examination revealed bilateral 360° hemorrhagic choroidal detachments without retinal hemorrhage or detachment. Choroidal hemorrhages underwent prompt resolution with blood pressure control. CONCLUSION:Spontaneous suprachoroidal hemorrhage is a rare event and should prompt a focused systemic workup including the evaluation of blood pressure.