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What is Hypertensive Retinopathy?
Hypertensive retinopathy is an middle precondition occurring in multitude with high pedigree pressure . It is a progressive condition that can lead tovision loss.(1 )
High blood pressurecauses damage to the line watercraft of the retina and can lead to vision loss . 1 in 4 the great unwashed in the United States with gamy line of descent atmospheric pressure is at jeopardy of developing various health conditions amongst which hypertensive retinopathy is one.(2 )
Causes of Hypertensive Retinopathy
Hypertension is the main cause of hypertensive retinopathy . In a someone with gamey blood insistence , the blood is pump out of the heart into the arteria . The forcefulness with which the blood is pumped into the arteria is very mellow . As a outcome , the descent flow throughout the body with much pressure . The arteries and the blood vessels can get damaged over time .
The risk factors for hypertensive retinopathy include :
Symptoms of Hypertensive Retinopathy
The symptoms of hypertensive retinopathy do not develop until the circumstance has reach ulterior leg . The unwashed symptoms of diabetic retinopathy include :
If a soul with in high spirits descent pressure experiences a sudden visual modality variety , emergency assistance should be taken .
Stages of Hypertensive Retinopathy
score of hypertensive retinopathy is done in various ways , some of which include the following .
Keith Wagener Barker (KWB)
Keith Wagener Barker is one of the classification organisation of hypertensive retinopathy and correlate the condition with hypertension severity .
Scheie Classification
In Scheie classification , two main components are include , the staging of hypertensive retinopathy similar to KWB grades along with the staging of coronary artery disease .
coronary artery disease is a condition in which the artery harden or inspissate .
Simplified Wong and Mitchell Grading
It involves a 3 - grade classification scheme that may be easier for Doctor to use .
Diagnosis of Hypertensive Retinopathy
For diagnose hypertensive retinopathy , an oculist performs routine balk - ups , fundoscopic examinations , retinal imaging , and other exams .
An ophthalmoscope is used to shine luminousness through the schoolchild and examine the back of the eye and retina . This is done to condition the wellness of blood vessel and mark the signs of narrowing and fluid leaking .
Fluoroscopic angiography is used to check the flow of blood to the retina . It involve contract image of the back of the eye , using medicated center drops to broaden the schoolchild , and using a dyestuff call fluorescent dye that is injected into the arm .
Treatment of Hypertensive Retinopathy
The treatment of hypertensive retinopathy involves medications and lifestyle changes .
Medications
The medications are given to let down the parentage pressure that may be cause damage to the retina . The medications include :
If there is severe hypertensive retinopathy , the reverse of the condition is not possible . A person may have permanent vision red .
Lifestyle Changes
life style change may be recommend to maintain moderate blood force per unit area . The changes may include :
Complications of Hypertensive Retinopathy
Individuals with hypertensive retinopathy may develop complications , which include :
masses with hypertensive retinopathy are also at an increase risk of stroke . A study was done on the great unwashed with geezerhood between 50 - 73 . It was found that those with hypertensive retinopathy had a higher risk of stroke.(3 )
The mindset for a mortal with hypertensive retinopathy depends on the extent or stage of the circumstance . People with higher grade have subjugate expectation as they are consociate with solidus , heart problem , and end . Early handling can halt further retinal changes . But , if there is severe damage to the retina , it may be irreversible .
