Hypertension in children is an increasingly important clinical concern, with primary (essential) hypertension accounting for a growing proportion of cases, particularly among older children and those who are overweight. The diagnosis is often challenging due to nonspecific clinical manifestations and the high likelihood of being overlooked.
We report the case of a 12-year-old boy who was admitted following ocular trauma and was incidentally found to have markedly elevated blood pressure. Comprehensive clinical evaluation and diagnostic investigations revealed no evidence of secondary causes or target-organ damage.
Through this case, we aim to emphasize the importance of early detection, thorough evaluation, appropriate management, and long-term follow-up of primary hypertension in pediatric patients.