1、HYPERTENSIVE RETINOPATHY DR AJAY DUDANIDR YASHESH MANIAR.- MANY CAUSES- MAINLY ESSENTIAL HYPERTENSION.SYSTEMIC HYPERTENSION(JNCV 5TH)STATE OF PERSISTENT ELEVATED BLOOD PRESSURE ABOVE 140/90 mmHg.5TH JOINT NATIONAL COMMITTEE CLASSIFICATION OF BLOOD PRESSURECATEGORYSYSTOLIC BPDIASTOLIC BP (mmHg) (mmHg
2、)NORMAL130210120.PATHOPHYSIOLOGICAL CHANGES IN HYPERTENSIVE OCULAR DISEASEHYPERTENSIVE CHOROIDOPATHYHYPERTENSIVE RETINOPATHY- VASOCONSTRICTIVE PHASE- SCLEROTIC PHASE- EXUDATIVE PHASE- COMPLICATIONS OF THE SCLEROTIC PHASE3. HYPERTENSIVE OPTIC NEUROPATHY- OPTIC DISC EDEMA- OPTIC ATROPHY- ISCHEMIC OPTI
3、C NEUROPATHY.ARTERIOSCLEROSISGRADE 0NORMALGRADE 1INCREASED LIGHT REFLEX, WITH MILD ARTERIOVENOUS CROSSING DEFECTSGRADE 2 COPPER WIRE APPEARANCEGRADE 3SILVER WIRE APPEARANCE, WITH MARKED ARTERIO VENOUS CROSSING DEFECTSGRADE 4 FIBROUS CORD.Grading of arteriolosclerosis.ARTERIOLESA-V RATIOFOCAL SPASMGR
4、ADE 03:41:1GRADE 11:21:1GRADE 2 1:32:3GRADE 31:41:3 +/- C W SPOTGRADE 4 FIBROUS CORD NO DISTAL FLOW +/-ELS SPOT.HEMORRHAGEEXUDATEDISC EDEMAGRADE 0-GRADE 1-GRADE 2 -GRADE 3+-GRADE 4 +. Retinal vein occlusion CRVO (Central Retinal Vein Occlusion) HRVO (Hemi Retinal Vein Occlusion) BRVO (Branch Retinal
5、 Vein Occlusion) Constitutes 69.5 % of all RVO cases. Mildest Form.NON ISCHAEMICISCHAEMIC.CRVO.CRVO.Cilioretinal artery occlusionCombined with CRVO.Cilioretinal artery occlusionCombined with anterior ischaemic optic neuropathy.Ocular associations of hypertension.Ocular associations of hypertension. Ocular motor nerve palsies Ocular associations of hypertension.
