Specialist Eye surgery in Windsor and Reading
Andrew Pearson MA MRCP FRCOphth
Consultant Ophthalmic and Oculoplastic Surgeon
Eye Surgery in Berkshire
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Hypertensive retinopathy


Sustained high blood pressure (hypertension) leads to damage of the retinal blood vessels and the retina itself.

Clinical Features

Without symptoms in the early stages.
Advanced changes may cause blurred vision.
Examination of the retina shows damage to the blood vessels, leakage of blood and fluid, accumulation of lipid within the retina and patches of damage to the retinal nerves.
Hypertension is also a risk factor for retinal vein occlusions, ischaemic optic neuropathy and diabetic retinopathy.
Severe hypertension is often accompanied by headache


Elevated blood pressure sufficient to cause hypertensive retinopathy requires investigation and management with the GP, urgently if there is any reduction in vision





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