TY - JOUR
T1 - Ocular signs of systemic hypertension
T2 - a review
AU - Hurcomb, Peter G.
AU - Wolffsohn, James S.
AU - Napper, Genevieve A.
PY - 2001/11/10
Y1 - 2001/11/10
N2 - Cardiovascular disease and stroke continue to be the chief causes of death in developed countries and one of the leading causes of visual impairment. The individual with systemic hypertension may remain asymptomatic for many years. Systemic mortality and morbidity are markedly higher for hypertensives than normotensives, but can be significantly reduced by early diagnosis and then efficient management. However, the ability of Optometrists to detect and appropriately refer systemic hypertensives remains generally poor. This review examines the disease, its effects and detection by observation of the retinal signs, particularly those considered to be pre-malignant. Previous methods of classifying retinal hypertensive signs are discussed along with more recent image analysis techniques. The role of the optometrist in detecting, monitoring and appropriate referral of systemic hypertensives is discussed in relation to current research. (C) 2001 The College of Optometrists. Published by Elsevier Science Ltd. All rights reserved.
AB - Cardiovascular disease and stroke continue to be the chief causes of death in developed countries and one of the leading causes of visual impairment. The individual with systemic hypertension may remain asymptomatic for many years. Systemic mortality and morbidity are markedly higher for hypertensives than normotensives, but can be significantly reduced by early diagnosis and then efficient management. However, the ability of Optometrists to detect and appropriately refer systemic hypertensives remains generally poor. This review examines the disease, its effects and detection by observation of the retinal signs, particularly those considered to be pre-malignant. Previous methods of classifying retinal hypertensive signs are discussed along with more recent image analysis techniques. The role of the optometrist in detecting, monitoring and appropriate referral of systemic hypertensives is discussed in relation to current research. (C) 2001 The College of Optometrists. Published by Elsevier Science Ltd. All rights reserved.
UR - http://www.scopus.com/inward/record.url?scp=0034750651&partnerID=8YFLogxK
UR - http://onlinelibrary.wiley.com/doi/10.1046/j.1475-1313.2001.00617.x/abstract
U2 - 10.1046/j.1475-1313.2001.00617.x
DO - 10.1046/j.1475-1313.2001.00617.x
M3 - Article
C2 - 11727871
VL - 21
SP - 430
EP - 440
JO - Ophthalmic and Physiological Optics
JF - Ophthalmic and Physiological Optics
SN - 0275-5408
IS - 6
ER -