Hypertensive Emergency with Sudden Subconjunctival Hemorrhage, Chronic Kidney Failure, and Hypertensive Retinopathy in Breast Cancer Survivor: Case Report

Coana Sukmagautama, Agni Shalha Ali, Aiman Hilmi Asaduddin, Ummu Ma’rifatul Afifah


Introduction: Hypertensive emergency is a life-threatening condition of very high blood pressure associated with acute end-organ damage that requires appropriate therapy to treat progressive organ dysfunction.

Case presentation: 44-years-old breast cancer survivor woman with severe hypertension and sudden left eye bleeding. The blood pressure was 213/115 mmHg. The patient also had chronic kidney failure and hypertensive retinopathy as hypertension complications. The laboratory examination showed an abnormal lipid profile and the presence of proteinuria and bacteriuria from the urinalysis.

Discussion and conclusion: Subconjunctival hemorrhage (SCH) presentation can indicate any serious underlying etiology that needs prompt treatment as in this patient requiring further evaluations. Aggressive treatment was given to reduce blood pressure and further observations for SCH.

Keywords: hypertension; subconjunctival hemorrhage; chronic kidney failure; hypertensive retinopathy


Hypertension; Subconjunctival hemorrhage; Chronic kidney failure; Hypertensive retinopathy

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