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FUNDOSCOPY IN PIH

FUNDOSCOPY IN PIH. RETINA Mirror to the cardiovascular system of the body FUNDOSCOPY Visualization of hypertensive changes PIH Retinal changes run parallel with the severity of hypertension hence that of pre-eclampsia. PROCEDURE. ONE DROP EVERY 10 MINUTES THREE TIMES FUNDOSCOPY

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FUNDOSCOPY IN PIH

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  1. FUNDOSCOPY IN PIH RETINA • Mirror to the cardiovascular system of the body FUNDOSCOPY • Visualization of hypertensive changes PIH • Retinal changes run parallel with the severity of hypertension hence that of pre-eclampsia.

  2. PROCEDURE ONE DROP EVERY 10 MINUTES THREE TIMES FUNDOSCOPY AFTER ONE HOUR BEFORE FOUR HOURS

  3. SYSTEMIC HYPERTENSION • VASOSPASM • VASOSCLEROSIS • RETINOPATHY

  4. NORMAL FUNDUS • Uniform Caliber • Smooth sinuous course • Brach at obtuse angle

  5. VASOSPASM • NARROWING • STRAIGHTENING • ACUTE ANGLED BRANCHING • A-V RATIO 1:3

  6. VASOSCLEROSIS SALU’S SIGN Deflection in the course of the vein at the Arterio-venous crossing

  7. VASOSCLEROSIS GUNN’S SIGN Concealment of the vein beneath the artery at the Arterio-venous crossing

  8. RETINOPATHY • SOFT EXUDATES • RETINAL HEMORRHAGES • RETINAL EDEMA • HARD EXUDATES • RETINAL DETACHMENT

  9. RETINOPATHY SOFT EXUDATES • Occulsion of precapillry arteriole • Capillary nonperfusion • Localised axoplasmic stasis • Compact yellowish white fluffy lesions • Cotton wool spots

  10. RETINOPATHY FLAME SHAPED HAEMORRGHAGES • Fibrinoid necrosis in the vessel wall • Located in the Nerve fibre layer of retina • Bright red flamed shaped hemorrhage

  11. RETINOPATHY MACULAR STAR • Increased capillary Permeability • Retinal edema • Precipitation of lipids • Discrete dense yellow lesions • Macular star HARD EXUDATES

  12. RETINAL DETACHMENT LOCALISED RETINAL DETACHMENT • Accumulation of Serous fluid between • Retinal pigment epithelium and • Neurosensory retina

  13. RETINAL DETACHMENT TOTAL BULLOUS DETACHMENT

  14. OPTIC DISC EDEMA MALIGNANT HYPERTENSIVE RETINOPATHY

  15. KEITH-WAGENER-BARKER1939

  16. AMERICAN OPHTHALMOLOGICAL SOCEITY

  17. IMPLICATION

  18. FUNDOSCOPY IN PIH CONTINUE TERMINATE

  19. PROGNOSIS

  20. THANK YOU

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