高血压视网膜病变。

J. Mcmichael, C. Dollery
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引用次数: 0

摘要

高血压(HT)影响几个系统,如心血管、肾脏、脑血管和视网膜。HT引起的眼底改变包括小动脉狭窄、动静脉划痕、棉斑、视网膜出血和乳头水肿。这些变化可以通过各种方法观察,包括眼底检查,光学相干断层扫描血管造影(OCTA)。OCTA快速、定量、无创、易于检查高血压变化。高血压病变可分为高血压视网膜病变(HR)、高血压脉络膜病变和高血压视神经病变。HR可作为靶器官损伤引起的全身发病率和死亡率的预测因子。HR的治疗主要是医学治疗,并应包括对继发原因的评估。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
HYPERTENSIVE RETINOPATHY.
Hypertension (HT) affects several systems such as cardiovascular, renal, cerebrovascular, and retina. Fundus changes caused by HT include arteriolar narrowing, arteriovenous nicking, cotton-wool spots, intraretinal hemorrhage, and papilledema. These changes can be observed using various methods, including fundus examination, optical coherence tomography angiography (OCTA). OCTA is fast, quantitative, non-invasive, and easy to perform for examining hypertensive changes. Hypertensive changes can be grouped in hypertensive retinopathy (HR), hypertensive choroidopathy, and hypertensive optic neuropathy.  HR acts as a predictor of systemic morbidity and mortality due to target-organ damage. Treatment of HR is mainly medical and should include evaluation of secondary causes.
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