Hypertensive retinopathy
Damage to the retina from high blood pressure is called
hypertensive retinopathy. It occurs as the existing high blood
pressure changes the microvasculature of the retina. Some of the
first findings in the disease are flame hemorrhages and cotton wool
spots. As hypertensive retinopathy progresses, hard exudates can
appear around the macula along with swelling of the macula and the
optic nerve, causing impairment of vision. In severe cases
permanent damage to the optic nerve or macula can occur.
Review Date: 9/7/2008
Reviewed By: David C. Dugdale, III, MD, Professor of Medicine,
Division of General Medicine, Department of Medicine, University of
Washington School of Medicine. Also reviewed by David Zieve, MD,
MHA, Medical Director, A.D.A.M., Inc.
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