This patient was diagnosed with serous RPE detachment secondary to choroidal infarct. The infarct was directly the result of high blood pressure. Her blood pressure in the office was measured at 289/130. This condition is almost exactly as that seen in preclampsia of preganant women at or past the 20th week. Flourescein angiography was performed, confirming the choroidal infarct. This patient was reappointed for 2-3 weeks follow-up, and returned to the hospital for further treatment of the high blood pressure.

Upon follow-up, her blood pressure had dropped to 132/78, and vision in the right eye had improved to 20/60. The retina was once again flat, but the right optic nerve head was somewhat pale. Another follow-up 2 months later showed AION of the right optic nerve, secondary to the initial hypertensive episode. Her vision had improved to 20/40 best corrected. She was reappointed for another four months, and the likelihood of continued reduced vision secondary to the AION was discussed.