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
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