Minerva

Minerva

BMJ 2007; 335 doi: http://dx.doi.org/10.1136/bmj.39412.563426.47 (Published 29 November 2007) Cite this as: BMJ 2007;335:1162
  1. Neil McGowan, specialist registrar,
  2. James Walker, consultant diabetologist
  1. St John's Hospital, Livingston, West Lothian EH54 6PP
  1. james.walker{at}wlt.scot.nhs.uk

    A 67 year old man presented with a one month history of headache and one week of decreased visual acuity. Examination showed blood pressure of 180/125 mm Hg and grade three hypertensive retinopathy. Treatment with metoprolol, furosemide, spironolactone, and doxazosin brought his blood pressure to 146/68 mm Hg. Subsequent retinal photography showed complete resolution of the retinal changes. Retinal photography can also be used to show patients that an otherwise asymptomatic condition has improved.