The continuous decrease of capillary flow velocity demonstrates a progression of altered microcirculation in patients with essential hypertension whose blood pressure was believed to be well controlled. Further studies with this technique may be useful to determine the influence of antihypertensive therapy and may help to identify patients at risk for cerebrovascular events.
Alterations of the perifoveal network are found in patients with arterial hypertension. These alterations are similar under antihypertensive monotherapy using beta-blocker, ACE inhibitor or calcium channel blocker.
In conclusion, the findings assessed by colour-coded duplex sonography show a flow reduction in the central retinal vein and an increased arterial flow resistance in the retinal layer. There is good correlation with the angiographic results. Moreover, flow reductions in the ophthalmic artery, which are not seen in ophthalmological examinations, can be detected by this new examination technique.
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