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    Retinopati Hipertensi

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    Andi Yongki
    The document describes the Scheie classification system for hypertensive retinopathy with 5 stages. Stage 0 has a diagnosis of hypertension without retinal abnormalities. Stages I-III involve increasing arteriolar narrowing and signs of hypertensive damage. Stage IV includes retinal edema, exudates, and papilledema. Treatment depends on the stage, with routine care for mild, closer monitoring for moderate, and urgent hypertension treatment for accelerated disease. Complications can include retinal vein and artery occlusions. Prognosis depends on controlling risk factors.

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    Retinopati Hipertensi

    Uploaded by

    Andi Yongki
    53 views24 pages
    The document describes the Scheie classification system for hypertensive retinopathy with 5 stages. Stage 0 has a diagnosis of hypertension without retinal abnormalities. Stages I-III involve increasing arteriolar narrowing and signs of hypertensive damage. Stage IV includes retinal edema, exudates, and papilledema. Treatment depends on the stage, with routine care for mild, closer monitoring for moderate, and urgent hypertension treatment for accelerated disease. Complications can include retinal vein and artery occlusions. Prognosis depends on controlling risk factors.

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    74298739-Retinopati-Hipertensi

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    The document describes the Scheie classification system for hypertensive retinopathy with 5 stages. Stage 0 has a diagnosis of hypertension without retinal abnormalities. Stages I-III involve increasing arteriolar narrowing and signs of hypertensive damage. Stage IV includes retinal edema, exudates, and papilledema. Treatment depends on the stage, with routine care for mild, closer monitoring for moderate, and urgent hypertension treatment for accelerated disease. Complications can include retinal vein and artery occlusions. Prognosis depends on controlling risk factors.

    Copyright:

    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    53 views24 pages

    Retinopati Hipertensi

    Uploaded by

    Andi Yongki
    The document describes the Scheie classification system for hypertensive retinopathy with 5 stages. Stage 0 has a diagnosis of hypertension without retinal abnormalities. Stages I-III involve increasing arteriolar narrowing and signs of hypertensive damage. Stage IV includes retinal edema, exudates, and papilledema. Treatment depends on the stage, with routine care for mild, closer monitoring for moderate, and urgent hypertension treatment for accelerated disease. Complications can include retinal vein and artery occlusions. Prognosis depends on controlling risk factors.

    Copyright:

    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    of 24

    Anatomi dan Fisiologi Mata




    Patafisiologi
    Klasifikasi Scheie 1953
    Stadium Karakteristik
    Stadium 0 Ada diagnosis hipertensi tanpa abnormalitas pada retina

    Stadium I Penyempitan arteriolar difus, tiada konstriksi fokal,


    pelebaran refleks arterioler retina

    Stadium II Penyempitan arteriolar yang lebih jelas disertai konstriksi


    fokal, tanda penyilangan arteriovenous

    Stadium III Penyempitan fokal dan difus disertai hemoragik, copper-


    wire arteries

    Stadium IV Edema retina, hard eksudat, papiledema, silver-wire


    arteries
    Mild Hypertensive Retinopathy

    Nicking AV (panah hitam) AV nickhing (panah


    dan penyempitan focal hitam) dan gambaran
    arterioler (panah putih) copper wiring pada
    arterioles (panah putih)
    Moderate Hypertensive Retinopathy

    Perdarahan retina (panah AV nicking (panah hitam)


    hitam) dan gambaran cotton dan cotton wool spot
    wool spot (panah putih) (panah putih)
    Multipel cotton wool spot (panah
    putih) dan perdarahan retina (panah
    hitam) dan papiledema.
    No

    Penatalaksanaan Hypertensive
    Retinopathy
    •Routine care

    Mild •Routine care


    Hypertensive •Closer monitoring
    Retinopathy of vascular risk

    Medical history, •Exclude diabetes


    examination, •Closer monitoring of
    Moderate
    Patient with appropriate Retinal vascular risk
    Hypertension laboratory Examination Hypertensive
    •Possible indication for
    investigations and Retinopathy hypertension treatment and
    management other risk factors

    Accelerated
    Urgent hypertension
    Hypertensive
    treatment
    Retinopathy

    Consider ophthalmology
    referral in selected patients
    (e.g., borderline
    Equivocal hypertension with no other
    Signs target damage,
    patients with diabetes,
    patients with visual
    symptoms)
    Komplikasi

     Brunch Retinal Vein Occlussion
     Central Retinal Arteriol Occlussion
     Ischemic ocular syndrome
    Prognosis

     Prognosis tergantung pada pengontrolan faktor
    resiko.

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