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)NO
2、RMAL130210120.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 OPTIC NEUROPATH
3、Y.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 SPASMGRADE 03:41:1GR
4、ADE 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 Vein Occlusion)Constitu
5、tes 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.