Prevalence of hypertensive retinopathy in hypertensive patients

Authors

  • Ifrath Nusaiba Department of Ophthalmology, Saveetha Medical College and Hospital, Chennai, Tamil Nadu, India
  • Panimalar Veeramani Department of Ophthalmology, Saveetha Medical College and Hospital, Chennai, Tamil Nadu, India

DOI:

https://doi.org/10.26452/ijrps.v13i2.91

Abstract

Hypertension manifests in the eyes as retinopathy, choroidopathy and optic neuropathy of which retinopathy can be used as a predictor for systemic morbidities and mortalities. The objective of the study was to determine the prevalence of retinopathy in hypertensive patients and determine the correlation of retinopathy with parameters like age, sex, duration of hypertension, severity of hypertension and control of hypertension. This was a cross-sectional, retrospective study done in patients attending our hospital between January to March 2019 comprising of 200 patients. The grading of retinopathy was done using Keith-Wagner-Barker system. The presence of retinopathy was compared with parameters like age, sex and duration of hypertension. Statistical analysis was done using MS-Excel and Chi-square test. Among the 200 hypertensive patients (117 males, 83 females), 57 patients had retinopathy (28.5%) of which 35 were males and 22 were females. Among patients with retinopathy, 32 had Grade 1, 16 had Grade 2, 8 had Grade 3 and 1 had Grade 4 retinopathy. Based on the severity of hypertension, 8 out of 61 patients having mild hypertension, 25 out of 81 patients had moderate hypertension and 24 out of 58 patients having severe hypertension, had retinopathy. The prevalence of retinopathy was higher in patients with hypertension for 5 years or more (54.4%) than those with hypertension with less than 5 years (21.8%). Our study showed prevalence of hypertensive retinopathy to be 28.5%. Severity of hypertension and duration of hypertension > 5 years was found to have an association with hypertensive retinopathy.

Keywords:

Grades, Hypertension, Prevalence, Retinopathy

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References

Thanasekaran Vijhaya Priya and undaram Arul Murugan. Prevalence of hypertensive retinopathy in newly diagnosed hypertensive patients. Journal of Evidence Based Medicine and Healthcare, 6(14):1141–1144, 2019.

Pranav Modi and Tasneem Arsiwalla. Hypertensive Retinopathy. 2019. StatPearls. Updated on July 10, 2021

Petros Cyrus Kayange. Prevalence and clinical spectrum of hypertensive retinopathy among hypertension clinic patients at Queen Elizabeth Central Hospital in Malawi. Malawi Medical Journal, 30(3):180–180, 2018.

Jagmohan Singh, Tewari, and R A Khosla. Hypertensive retinopathy. Indian Journal of Ophthalmology, 31(7):971–974, 1983.

Nelly N Kabedi, Jean-Claude Mwanza, Fran- cois B Lepira, Tharcisse K Kayembe, and David L Kayembe. Hypertensive retinopathy and its association with cardiovascular, renal and cerebrovascular morbidity in Congolese patients : cardiovascular topic. Cardiovascular Journal of Africa, 25(5):228–232, 2014.

R. Leishman. The eye in general vascular disease hypertension and arteriosclerosis. British Journal of Ophthalmology, 41(11):641– 701, 1957.

A D Henderson, B B Bruce, N J Newman, and V Biousse. Hypertension-related eye abnormalities and the risk of stroke. Reviews in Neurological Diseases, 8(1-2):1–9, 2011.

R Klein, B E K Klein, S E Moss, and W Tasman. The relation of systemic hypertension to changes in the retinal vasculature: the beaver dam eye study. American Journal of Ophthalmology, 125(3):422–423, 1998.

M Besharati, A Rastegar, M Shoja, and M Maybodi. Prevalence of retinopathy in hypertensive patients. Saudi Med. J, 27(11):1725–1728, 2019.

Ratindra Nath Mondal, Md Abdul Matin, Moni Rani, Md Zakir Hossain, Amaresh Chandra Shaha, Ram B Singh, Md Foyjul Islam, and Anupom Das. Prevalence and Risk Factors of Hypertensive Retinopathy in Hypertensive Patients. Journal of Hypertension: Open Access, 06(02):6–6, 2017.

L E Downie, L A Hodgson, C Dsylva, R L Mcin- tosh, S L Rogers, P Connell, and W T. Hypertensive retinopathy: comparing the Keith- Wagener-Barker to a simplified classification. Journal of Hypertension, 31(5):960–965, 2013.

P K Whelton, R M Carey, W S Aronow, D E Casey, K J Collins, C Dennison Himmelfarb, and J T Wright. PCNA Guideline for the Prevention, Detection, Evaluation, and Management of High Blood Pressure in Adults: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Pr. Hypertension, 71(6):13–115, 1979.

Published

2022-04-05

How to Cite

Ifrath Nusaiba, & Panimalar Veeramani. (2022). Prevalence of hypertensive retinopathy in hypertensive patients. International Journal of Research in Pharmaceutical Sciences, 13(2), 145–149. https://doi.org/10.26452/ijrps.v13i2.91

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Section

Original Articles