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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 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 SALU’S SIGN Deflection in the course of the vein at the Arterio-venous crossing
VASOSCLEROSIS GUNN’S 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 • Increased capillary Permeability • Retinal edema • Precipitation of lipids • Discrete dense yellow lesions • Macular star HARD EXUDATES
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
FUNDOSCOPY IN PIH CONTINUE TERMINATE