Netvlies verteld ons of U verhoogde boeddruk heeft

Hypertensieve Fundus zoals de optometrist hem met een funduscamera kan beoordelen

De optometrist werkt volgens een grading systeem (fase bepaling , hoe ernstig U hoge bloeddruk uw netvlies heeft beschadigd) Dus we blijven het roepen van de daken, laat 1 x per jaar een foto van uw ogen maken zodat u veilig en zonder gezichtsschade door het leven kan blijven lopen

Hieronder een stuk engelse tekst die ik binnenkort zal vertalen

De befaamde diffrentiaal diagnose bij hypertensie = verhoogde bloeddruk

Differential Diagnoses

Several other diseases can result in retinopathy that can be confused with hypertensive retinopathy. These include diabetic retinopathy, retinopathy due to autoimmune disease, anemia, radiation retinopathy, and central retinal vein occlusion.

Keith Wagener Barker (KWB) Grades

Grade 1

Vascular Attenuation

Grade 2

As grade 1 + Irregularly located, tight constrictions – Known as "AV nicking" or "AV nipping" – Salus's sign

Grade 3

As grade 2 + Retinal edema, cotton wool spots and flame-hemorrhages "Copper Wiring" + Bonnet's Sign + Gunn's Sign

Grade 4

As grade 3 + optic disc edema + macular star "Silver Wiring"

There is an association between the grade of retinopathy and mortality. In a classic study in 1939 Keith and colleagues^[5] described the prognosis of people with differing severity of retinopathy. They showed 70% of those with grade 1 retinopathy were alive after 3 years whereas only 6% of those with grade 4 survived.The most widely used modern classification system bears their name.The role of retinopathy grading in risk stratification is debated, but it has been proposed that individuals with signs of hypertensive retinopathy signs, especially retinal hemorrhages, microaneurysms and cotton-wool spots, should be assessed carefully.