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Hypertensive Retinopathy
Hypertensive Retinopathy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Hypertensive Retinopathy - Introduction ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Hypertensive Retinopathy - Prevalence ,[object Object],[object Object],[object Object],[object Object]
Hypertensive Retinopathy – Prevalence, Risk factors ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Hypertensive Retinopathy – Prevalence, Morbidity Risk ,[object Object],[object Object],[object Object],[object Object]
Hypertensive Retinopathy – History & Symptoms ,[object Object],[object Object],[object Object],[object Object]
Hypertensive Retinopathy – Diagnostic Techniques & Signs ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Hypertensive Retinopathy – Diagnostic Techniques & Signs ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Hypertensive Retinopathy – Diagnostic Techniques & Signs Generalised narrowing of the retinal arterioles
Hypertensive Retinopathy – Diagnostic Techniques & Signs Focal narrowing of the retinal arterioles –  Copper and Silver Wiring
Hypertensive Retinopathy – Diagnostic Techniques & Signs ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Hypertensive Retinopathy – Diagnostic Techniques & Signs ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Hypertensive Retinopathy – Diagnostic Techniques & Signs Gunn’s sign &  right-angled crossing Bonnet’s sign
Hypertensive Retinopathy – Diagnostic Techniques & Signs Gunn’s sign, right-angled crossing & Bonnet’s sign Salus’ sign?
Hypertensive Retinopathy – Diagnostic Techniques & Signs ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Hypertensive Retinopathy – Diagnostic Techniques & Signs Early malignant Dot and blot haemorrhages Hard and soft exudates Diffuse arteriolar narrowing Arterio-venous crossing defects
Hypertensive Retinopathy – Diagnostic Techniques & Signs Advanced malignant Macular star Pailloedema
Hypertensive Retinopathy - Classification <20% Malignant abnormalities encountered in Grades I through III, as well as swelling of the optic nerve head and macular star IV 25% Malignant abnormalities seen in Grades I and II, as well as retinal haemorrhages, hard exudation, and cotton-wool spots III 33% Non-malignant narrowing of the retinal arteries in conjunction with regions of focal narrowing and arterio-venous nipping II 50% Non-malignant minimal narrowing of the retinal arteries I A:V ratio Alternative description Description Grade
Hypertensive Retinopathy – Classification Grade 2
Hypertensive Retinopathy – Classification Grade 3
Hypertensive Retinopathy – Classification Grade 4
Hypertensive Retinopathy – Classification ,[object Object],[object Object],[object Object],[object Object]
Hypertensive Retinopathy – Choroidopathy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Hypertensive Retinopathy – Pathophysiology ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Hypertensive Retinopathy – Pathophysiology ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Hypertensive Retinopathy – Pathophysiology ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Hypertensive Retinopathy – Pathophysiology ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Hypertensive Retinopathy – Management ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Hypertensive Retinopathy – Associated Conditions ,[object Object],[object Object],[object Object],[object Object],[object Object]
Hypertensive Retinopathy – Clinical Pearls ,[object Object],[object Object],[object Object]
Hypertensive Retinopathy – Clinical Pearls Wet retina: multiple haemorrhages extensive oedema multiple exudates few cotton wool spots rare flame-shaped haemorrhages visibly abnormal retinal veins and capillaries ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Diabetic Retinopathy Hypertensive Retinopathy

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