Indian Journal of Ophthalmology

ORIGINAL ARTICLE
Year
: 1990  |  Volume : 38  |  Issue : 4  |  Page : 169--174

A correlative study of ophthalmoscopy and fluorescein angiography in systemic hypertension


Pradeep Jain1, Amod Gupta2, BK Sharma1 
1 Department of Internal Medicine, Postgraduate Institute of Medical Education & Research, Chandigarh-160 012, India
2 Department of Opthalmology, Postgraduate Institute of Medical Education & Research, Chandigarh 160 012, India

Correspondence Address:
B K Sharma
Department of Internal Medicine, Postgraduate Institute of Medical Education & Research, Chandigarh-160 012
India

This study correlates the fundus signs with the severity and signs of hypertension and evaluates the role of fluorescein angiography in detecting changes in the retinal and choroidal capillary bed in hypertension and defines its advantages over direct ophthalmoscopy. 37 hypertensives belonging to all grades of hypertension were studied. A thorough physical examination, hypertension work up, direct ophthalmoscopy and fluorescein angiography was done in all cases. A significant association was found between the presence of marked arteriolar narrowing and the presence of severe hypertension, left ventricular hypertrophy (LVH) and cardiomegaly. Patients having definite arterio-venous crossing changes and exudative retinopathy had a higher incidence of LVH and cardiomegaly. Renal functions and neurological signs in hypertension showed no correlation with the fundus signs. Capillary bed and choriodal abnormalities could be better studied on fluorescein angiography. Hard exudates were not visualized on fluorescein angiography. There was total resolution of exudative phenomenon on treatment.


How to cite this article:
Jain P, Gupta A, Sharma B K. A correlative study of ophthalmoscopy and fluorescein angiography in systemic hypertension.Indian J Ophthalmol 1990;38:169-174


How to cite this URL:
Jain P, Gupta A, Sharma B K. A correlative study of ophthalmoscopy and fluorescein angiography in systemic hypertension. Indian J Ophthalmol [serial online] 1990 [cited 2024 Feb 27 ];38:169-174
Available from: https://journals.lww.com/ijo/pages/default.aspx/article.asp?issn=0301-4738;year=1990;volume=38;issue=4;spage=169;epage=174;aulast=Jain;type=0