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Retinopathy due to high blood pressure

Also known as Hypertensive Retinopathy

Hypertensive retinopathy is damage to the retina and retinal circulation due to high blood pressure (i.e. hypertension).

Source: Wikipedia

What are the symptoms?

Within all the people who go to their doctor with retinopathy due to high blood pressure, 70% report having diminished vision, 38% report having spots or clouds in vision, and 35% report having symptoms of eye. The symptoms that are highly suggestive of retinopathy due to high blood pressure are diminished vision, spots or clouds in vision, symptoms of eye, itchiness of eye, foreign body sensation in eye, mass on eyelid, blindness, and pus draining from ear, although you may still have retinopathy due to high blood pressure without those symptoms.


What might my doctor prescribe?

Common Tests and Procedures

Patients with retinopathy due to high blood pressure often receive ophthalmic examination and evaluation, other therapeutic procedures on eyelids; conjunctiva; cornea, hemoglobin a1c measurement, ophthalmologic and otologic diagnosis and treatment, examination of foot, repair of retinal tear; detachment and diagnostic procedures on eye .

Common Medications

The most commonly prescribed drugs for patients with retinopathy due to high blood pressure include insulin, aspart, human (novolog), tropicamide ophthalmic, phenylephrine (duramax), quinapril, verapamil (univer), repaglinide (prandin), bevacizumab (avastin), bimatoprost ophthalmic, temazepam, hydralazine, methsuximide (celontin), prasugrel (effient) and insulin, glulisine, human (apidra) .

Who is at risk?

Groups of people at highest risk for retinopathy due to high blood pressure include age 60-74 years, race/ethnicity = black and age 45-59 years. On the other hand, age 5-14 years almost never get retinopathy due to high blood pressure.

Age

< 1 years
0.5x
1-4 years
0.1x
5-14 years
0.0x
15-29 years
0.4x
30-44 years
0.5x
45-59 years
1.6x
60-74 years
2.5x
75+ years
1.2x

Sex

Male
1.2x
Female
0.9x

Race/Ethnicity

Black
1.8x
Hispanic
1.3x
White
0.7x
Other
1.3x
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