Profile of Hypertensive Retinopathy in a Tertiary Centre in Western Nepal

Pun, CB; Tuladhar, Sapna Laxmi

doi:10.3126/jgmcn.v12i1.22607

Cited by 2 publications

(2 citation statements)

References 5 publications

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“…For instance, Godar ST et al 21 reported higher proportions of grade 1 (7.36%) and grade 2 (17.86%) compared to grade 3 (10.52%) and grade 4 (3.15%). Similar patterns were noted by Ray S et al, 25 Cholera P et al, 18 and Pun CB et al 26 in their respective studies. Additionally, Ifrath Nusaiba et al 19 reported that the highest number of hypertensive retinopathy patients had grade 1 (32), followed by grade 2 (16), with fewer cases of grade 3 and 4 (8 and 1, respectively).…”

Section: Discussionsupporting

confidence: 85%

Incidence and determinants of hypertensive retinopathy in hypertension patients at a teaching hospital in North Western Karnataka

Warad,

Simon,

Wani

et al. 2023

IJCEO

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Persistently raised blood pressure not only leads to retinal vascular damage but also leads to systemic diseases. The retinal vasculature observation by fundoscopy offers a great opportunity to explore the association of systemic microvascular disease caused by hypertension. Hypertensive retinopathy (HR) is considered to be a marker for vascular disease and death. The aim of the present study was to find out the prevalence of hypertensive retinopathy among hypertensive subjects and assess the pattern of retinopathy and associated risk factors. This was a hospital based cross-sectional study conducted among hypertensive patients at a teaching hospital, for a period of 3 months.A total of 300 hypertensive patients formed the study population. The prevalence of the hypertensive retinopathy in the present study was 49.33%. Hypertensive retinopathy was more prevalent in men 62% than women 38%. The prevalence of grade 1 and grade 2 hypertensive retinopathies was 43.24% and 33.11% respectively and 20.95% and 2.7% had grade 3 and 4 respectively. The prevalence of retinopathy was found to be statistically higher in patients who had h/o hypertension for more than 5 years. The prevalence of hypertensive retinopathy was more common in age group >60yrs. The prevalence of target organ damage was higher in those having retinopathy.The prevalence of hypertensive retinopathy is high in the present study which reflects lack of awareness, patient compliance, sub optimal measures to control blood pressure and even lack of prompt follow up with ophthalmologists. There is need to spread awareness and take adequate measures to reduce the burden of hypertensive retinopathy.

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Section: Discussionsupporting

confidence: 85%

Incidence and determinants of hypertensive retinopathy in hypertension patients at a teaching hospital in North Western Karnataka

Warad,

Simon,

Wani

et al. 2023

IJCEO

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“…31%. (However, in this study, Modified Keith-Wagner-Barker Classification was used as reference) 10. In a study conducted by Adhikari et al most of the patients with HR had Grade II HR i.e.…”

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confidence: 98%

Study of Characteristic Retinal Findings among Hypertensive Population Attending a Tertiary Care Hospital in Nepal

Shrestha

Kaiti

2022

Kathmandu Univ. Med. J.

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Background Systemic hypertension is one of the most common chronic, debilitating diseases prevalent in the modern era, with many complications in terms of stroke, chronic kidney disease, coronary artery disease and retinopathy. When it comes to the eye, as a target organ damage, it leads to one of the many vision threatening conditions, hence degrading the quality of life. Early detection and subsequent management of patients at risk of hypertensive retinopathy serves to be a crucial panacea in the treatment course. Objective To investigate the characteristics retinal findings among hypertensive population and analyze the associated risk factors. Method A hospital based prospective study was conducted, among 250 patients presenting to ophthalmology outpatient department in Dhulikhel Hospital, Kathmandu University Hospital (DH-KUH), over a time span of 6 months, to analyze hypertensive retinopathy and its implications. Fundus examination under mydriasis was done on all subjects and hypertensive retinopathy was graded according to the modified Scheie classification. Result Most patients belonged to age group of 56-65 years (30%). Nearly half (48%, N=120) of the hypertensive population had some forms of retinopathy. Grade II hypertensive retinopathy (24.8%) was the most common hypertensive change observed. Majority (55%) of the patients with retinopathy were smokers. About two-third of the subjects (67.5%) had been diagnosed to have hypertension and under treatment for over 5 years. Conclusion The occurrence of retinopathy among hypertensive patients attending ophthalmology department is higher. Awareness regarding systemic hypertension and its effect on ocular health is very important to be disseminated among public. Timely referral among medical specialities could diagnose and prevent curable blindness among hypertensive patients.

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Profile of Hypertensive Retinopathy in a Tertiary Centre in Western Nepal

Cited by 2 publications

References 5 publications

Incidence and determinants of hypertensive retinopathy in hypertension patients at a teaching hospital in North Western Karnataka

Incidence and determinants of hypertensive retinopathy in hypertension patients at a teaching hospital in North Western Karnataka

Study of Characteristic Retinal Findings among Hypertensive Population Attending a Tertiary Care Hospital in Nepal

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