ocular manifestation of systemic disease Flashcards
how does hypertension cause ocularr manifestations?
changes seen at retina due to hypertension induced atehrescelrosis blocking the capillaries
signs - attenuation/nipping
later blockages- cos superficial harm
in severe cases development of papilloededm due to raised ICP
What are the signs of hypertension retinopathy
- AV nicking - gunn
- banking - bonner
- sales
copper and silver wiring
-cws
flame /haem
MA
exudates
macular star /ring of exudate s
disc oedema ( pap)
g1 ateriolar narrowing
g2 av nipping , copper wiring
g3 g2+ dot/blot harm/ cos/macular star /flame harm
what is the management
refer to go
refer to pthalmologist if any recent vascular occlusions
ref same day if pap/urgent if cos
hypertension rating s
hypertension ocular complications
-crvo/brvo
AION
neuro ocular palsy
tia
stroke with permanent neurological effects §
CRVO
thrombosis of crd
occlusion occurs at lamina cribosa
secondary to ONH compression
management
non ischemic - urgent ref to go for systemic BP check and routine ref HED
IF CWS Mac oedema/ vit hem or increase in top- urgent ref HES
( URGENTY RFER CRVO PX WITH HIGH IOP AS RISK OF NEOVAS GLAUCOMA)
symptoms of crvo
- SUDDEN PAINLESS LOSS OF VSION
VKURRED
SCOTOMA
PHOTOPSIA
ASYMPTOMATIC
crao
brao
dm
