Sir,

The ophthalmologic manifestations of hypertensive retinopathy are well described in the literature, and include retinal arteriolar narrowing, retinal hemorrhages, nerve-fiber layer infarcts, retinal vein or artery occlusion, and optic nerve head swelling.1 Focal retinal pigment epithelium detachments as well as exudative neurosensory detachments may develop as well, although reported in the literature rarely.2 Herein, we report a case of malignant hypertension associated with bilateral foveolar neurosensory detachment demonstrated by optical coherence tomography.

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