A clinico-demographic profile of hypertensive retinopathy cases in a tertiary care hospital of South Odisha, India
Keywords:
Hypertension, Retinopathy, Ophthalmoscopic featuresAbstract
Objective: To evaluate clinico-demographic profile of hypertensive retinopathy cases in a tertiary care hospital of South Odisha, India. Materials and methods: This was a Cross-sectional study conducted in the department of Ophthalmology, SLN Medical College, Koraput (Odisha) from July 2021 to February 2022. A total of 226 hypertensive patients were examined out of which 100 were found to manifest hypertensive retinopathy changes. These 100 patients were further evaluated and analyzed. Sample size of the study was 100 number of hypertensive retinopathy patients. Different investigations done in the patients are Visual acuity, refraction, BP measurement, Tonometry, Fundus examination, Gonioscopy, B scan, Renal profile, Blood sugar estimation. Demographic parameters like sources of cases, age, gender, area wise distribution. The cases were again assessed to find out level of hypertension control, duration since hypertensive etc. Results: Hypertensive retinopathy grading distribution among hypertensives with controlled blood pressure was 56.25%, 31.25% and 12.50% into Grade I, II and III respectively, showing lesser incidence of end organ damage with better control of blood pressure levels. Conclusion: There is a significant correlation between increasing age, blood pressure levels and severity of sclerotic changes with severity of retinopathy.
Downloads
References
Patricia M Kearney, Megan Whelton, Kristi Reynolds, Paul Muntner,Prof Paul K Whelton. Prof, Dr Jiang He Global burden of hypertension: analysis of worldwide data.The Lancet. January 15, 2005. VOLUME 365, ISSUE 9455, P217-223 .
J D Sapira.Dis Mon. An internist looks at the fundus oculi. 1984 Nov;30(14):1-64.
B B Duncan, T Y Wong, H A Tyroler, C E Davis, and F D Fuchs. Hypertensive retinopathy and incident coronary heart disease in high risk men. Br J Ophthalmol. 2002 Sep; 86(9): 1002–1006.
Ghanshyam Palamaner. SubashShantha. Yadav. Srinivasan. Anita A.Kumar. ShihasSalim. SuhasPrabakhar. Anish GeorgeRajan. T.R.Muralidharan. Can retinal changes predict coronary artery disease in elderly hypertensive patients presenting with angina. The American Journal of Emergency Medicine.Volume 28, Issue 5, June 2010, Pages 617-621.
Mohammad R Besharati 1, Abolghasem Rastegar, Mohammad R Shoja, Mahmood E Maybodi. Prevalence of retinopathy in hypertensive patients. Saudi Med J. 2006 Nov;27(11):1725-8.
Cuspidi, Cesare; Macca, Giuseppe; Sampieri, Lorena; Michev, Iassen; Salerno, Maurizio; Fusi, Veronica; Severgnini, Barbara; Meani, Stefano; Magrini, Fabio; Zanchetti, Alberto. Journal of Hypertension. 19(11):2063-2070, November 2001.
Mondal RN, Matin MA, Rani M, Hossain ZM, Shaha AC, et al. (2017) Prevalence and Risk Factors of Hypertensive Retinopathy in Hypertensive Patients. J Hypertens 6: 241.
Widana, I.K., Sumetri, N.W., Sutapa, I.K., Suryasa, W. (2021). Anthropometric measures for better cardiovascular and musculoskeletal health. Computer Applications in Engineering Education, 29(3), 550–561. https://doi.org/10.1002/cae.22202
R Klein, B E Klein, and S E Moss. The relation of systemic hypertension to changes in the retinal vasculature: the Beaver Dam Eye Study. Trans Am Ophthalmol Soc v.95; 1997 95: 329–350
Ronald Klein, Barbara E. K. Klein, Scot E. Moss, Qin Wang.Hypertension and Retinopathy, Arteriolar Narrowing, and Arteriovenous Nicking in a Population. Arch Ophthalmol. 1994;112(1):92-98.
Published
How to Cite
Issue
Section
Copyright (c) 2022 International journal of health sciences
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Articles published in the International Journal of Health Sciences (IJHS) are available under Creative Commons Attribution Non-Commercial No Derivatives Licence (CC BY-NC-ND 4.0). Authors retain copyright in their work and grant IJHS right of first publication under CC BY-NC-ND 4.0. Users have the right to read, download, copy, distribute, print, search, or link to the full texts of articles in this journal, and to use them for any other lawful purpose.
Articles published in IJHS can be copied, communicated and shared in their published form for non-commercial purposes provided full attribution is given to the author and the journal. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in this journal.
This copyright notice applies to articles published in IJHS volumes 4 onwards. Please read about the copyright notices for previous volumes under Journal History.