FUNDOSCOPY IN PIH RETINA Mirror to the cardiovascular

FUNDOSCOPY IN PIH RETINA Mirror to the cardiovascular

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 AFTER ONE HOUR BEFORE FOUR HOURS SYSTEMIC HYPERTENSION

VASOSPASM VASOSCLEROSIS RETINOPATHY NORMAL FUNDUS Uniform Caliber Smooth sinuous course Brach at obtuse angle

VASOSPASM NARROWING STRAIGHTENING ACUTE ANGLED BRANCHING A-V RATIO 1:3 VASOSCLEROSIS SALUS SIGN Deflection in the course of the vein at

the Arterio-venous crossing VASOSCLEROSIS GUNNS SIGN Concealment of the vein beneath the artery at the Arterio-venous crossing RETINOPATHY SOFT EXUDATES

RETINAL HEMORRHAGES RETINAL EDEMA HARD EXUDATES RETINAL DETACHMENT RETINOPATHY SOFT EXUDATES Occulsion of precapillry arteriole Capillary nonperfusion

Localised axoplasmic stasis Compact yellowish white fluffy lesions Cotton wool spots RETINOPATHY FLAME SHAPED HAEMORRGHAGES Fibrinoid necrosis in the vessel wall Located in the Nerve fibre layer of retina

Bright red flamed shaped hemorrhage RETINOPATHY MACULAR STAR HARD EXUDATES Increased capillary Permeability Retinal edema Precipitation of lipids Discrete dense yellow lesions Macular star

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

RETINAL DETACHMENT TOTAL BULLOUS DETACHMENT OPTIC DISC EDEMA MALIGNANT HYPERTENSIVE RETINOPATHY KEITH-WAGENER-BARKER 1939 FEATURES

Narrowing of the retinal arteries A-V CHANGES SALUS SIGN AND GUNNS SIGN K-W-R GRADING I II

SURVIVAL EXCELLENT GOOD RETINOPATHY SOFT EXUDATES FLAME HAEMORRHAGES HARD EXUDATES III

POOR IV VERY POOR RETINAL EDEMA/RETINALDetachment DISC EDEMA AMERICAN

OPHTHALMOLOGICAL SOCEITY K-W-R GRADING I AOA GRADING FEATURES

O Normal fundus I II Focal Narrowing Diffuse generalised narrowing II

III III RETINOPATHY IV IV DISC EDEMA

SOFT EXUDATES/FLAME HAEMORRHAGES RETINAL EDEMA/RETINAL DETACHMENT IMPLICATION FEATURES PREGNANCY NORMAL FUNDUS

CONTINUE FOCAL NARROWING DIFFUSE NARROWING RETINOPATHY SOFT EXUDATES FLAME HAEMORRHAGES HARD EXUDATES RETINAL EDEMA/RD DISC EDEMA

TERMINATE FUNDOSCOPY IN PIH CONTINUE TERMINATE PROGNOSIS

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