It is an Alport syndrome, not a simple hypertensive retinopa
The present case has been published in the Indian Journal of Ophthalmology.

A 26-year-old female presented with a history of gradual, painless progressive diminution of vision in both eyes since 1 year. The best-corrected visual acuity was 6/60 (−12D Sph/−1D Cyl 20°) in right eye and 6/18 (−8D Sph/−0.50D Cyl 180°) in left eye. Slit-lamp examination in the right eye revealed a clear lens with anterior lenticonus and posterior lenticonus. Retinoscopy revealed a central oil droplet reflex.

Slit-lamp examination of the left eye revealed anterior capsular opacity. She also gave history of progressive hearing loss. Fundus examination revealed grade 4 hypertensive retinopathy in both eyes.

Anterior segment ocular coherence tomography (OCT) of the right eye revealed a conical protrusion of the anterior lens capsule and left eye showed a hyperreflective opacity on the anterior capsule suggestive of a break and fibrosis of the capsule. Retinal OCT revealed intraretinal hard exudates in both eyes and no change in central macular thickness.

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