Hypertensive Retinopathy

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Hypertensive Retinopathy

• grades III and IV imply accelerated hypertension

Examination

• general
• Acuity
  • usually normal
• Fields
  • usually normal
  • enlarged blind spot if Papilloedema
• Pupils
• Fundi
  • Grade I
    • arteriolar narrowing
    • silver wiring
  • Grade II
    • arteriovenous nipping
  • Grade III (may be confused with Diabetic Retinopathy)
    • haemorrhages
    • exudates
  • Grade IV
    • Grade III + Papilloedema

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