Hypertensive Retinopathy among Hypertensive Patients in a Tertiary Care Centre: A Descriptive Cross-sectional Study.

JNMA; journal of the Nepal Medical Association Pub Date : 2024-09-01 Epub Date: 2024-09-30 DOI:10.31729/jnma.8761

Anjila Basnet, Nilshan Rai, Shambhu Kumar Sahani, Anil Pathak, Bishal Nepali

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Abstract

Introduction: Hypertension manifests in the eyes as retinopathy, choroidopathy, and optic neuropathy of which retinopathy can be used as a predictor for systemic morbidities and mortalities. The study aims to determine the prevalence of hypertensive retinopathy among hypertensive patients visiting the outpatient Department of Ophthalmology in a tertiary care center.

Methods: A descriptive cross-sectional study was conducted among hypertensive patients from 4^th April to 19^th November 2023 after obtaining ethical approval from the Institutional Review Committee (Reference number: 2079/80/96). A convenience sampling method was used. The point estimate was calculated at a 95% Confidence Interval.

Results: Among 161 hypertensive patients, hypertensive retinopathy was present in 70 (43.48%) (35.82-51.14, 95% Confidence Interval). Grade I hypertensive retinopathy accounted for 35 (50%) followed by Grade II Hypertensive Retinopathy in 17 (24.29%), Grade III Hypertensive Retinopathy in 14 (20%) and Grade IV Hypertensive Retinopathy in 4 (5.71%) in the study participants.

Conclusions: The prevalence of hypertensive retinopathy was found to be higher than other studies done in similar settings.

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三级保健中心高血压患者的高血压视网膜病变：一项描述性横断面研究。

高血压在眼部表现为视网膜病变、脉络膜病变和视神经病变，其中视网膜病变可作为全身性发病率和死亡率的预测指标。本研究旨在了解某三级保健中心眼科门诊高血压患者中高血压视网膜病变的患病率。方法：在获得机构审查委员会（参考编号：2079/80/96）的伦理批准后，于2023年4月4日至11月19日对高血压患者进行描述性横断面研究。采用方便抽样方法。点估计值以95%置信区间计算。结果：161例高血压患者中，高血压视网膜病变70例（43.48%）（35.82 ~ 51.14,95%可信区间）。I级高血压视网膜病变占35例（50%），其次是II级高血压视网膜病变17例（24.29%），III级高血压视网膜病变14例（20%），IV级高血压视网膜病变4例（5.71%）。结论：高血压视网膜病变的患病率高于类似环境下的其他研究。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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JNMA; journal of the Nepal Medical Association

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