11. Hypertensive Retinopathy

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Author:
sookylala
ID:
235333
Filename:
11. Hypertensive Retinopathy
Updated:
2013-11-11 00:42:19
Tags:
Hypertensive Retinopathy
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Description:
Hypertensive Retinopathy
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  1. Normal/stage 1/stage 2/crisis BP?
    • 120/80
    • 140/90
    • 160/100
    • 180/120!!
  2. Risk factors
    • age
    • diabetes
    • african american
  3. Who does HR usually affect?
    50-60YO
  4. What is HR?
    • 140/90
    • Retinal vascular changes occurring from chronically elevated systemic arterial hypertension
  5. Signs of HR?
    • bilateral
    • vessels: constriction/dilation/tortuosity, arteriolosclerosis
    • vascular: CWS, Flame haemmorhage, microaneurysms, hard exudates, macula star
  6. Grades of HR?
    • 1: attenuation and art light reflex
    • 2: art light reflex^ and salus sign
    • 3: 2+ copper, bonnet, gunn, haemorrhages+exudates
    • 4: silver wiring+3 + swollen ON
  7. malignant HR?
    • 40YO
    • Men
    • >200/140
  8. sx of malignant HR?
    • HA
    • diplopia
    • scotoma
    • photopsia
  9. Signs of malignant HR?
    • retinal ateriolar spasm
    • vascular leakage
    • OD edema
    • flame haem
    • CWS
    • serous retinal detachment
  10. acute malignant HR?
    • OD swelling
    • Macular star
    • EMERGENCY
  11. Hypertensive choroidopathy?
    • rare, poor prog, young
    • elschnig spots (RPE infarcts)
    • hyperpigmentation along choroidal arteries (siegrist streaks)
    • exudative RD
  12. Hypertensive optic neuropathy?
    • (+)malignant hypertension
    • ON swelling
    • Optic atrophy

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