Stroke is a significant global health problem and a major cause of morbidity and mortality in developed countries. Hypertensive retinopathy is associated with other indicators of end‐organ damage and may be a risk marker of future clinical events like stroke, CHF and CV mortality. This study aims to evaluate the severity of hypertensive retinopathy in patients with stroke and hypertension using Keith‐Wegener‐Barker (KWB) classification. A retrospective, Observational study was carried out between February 2023 and September 2024 including 50 consecutive patients of stroke admitted in a corporate hospital of Central Gujarat. All patients underwent dilated fundus examination using indirect ophthalmoscope and+20 D lens for presence of hypertensive retinopathy changes. Grading of retinopathy was done using Keith‐Wegener‐Barker classification. Total 50 patients of stroke were enrolled in the study. Out of these patients, 35 were male and 15 were female. Of the 50 patients, 35 (70%) patients had ischaemic stroke, 12 (24%) patients had hemorrhagic stroke and 3 (6%) patients had unclassified stroke. Two (4%) patients were diagnosed to have grade IV retinopathy, 8 (16%) patients had grade III retinopathy, 22 (44%) patients had grade II retinopathy, 13 (26%) patients had grade I retinopathy and 5 (10%) patients had no retinopathy. Patients with stroke and hypertension have significant changes in both sclerotic phase (grade I and II) and in break down phase (grade III and IV).
Sonal Kochhar Suri, Anmol Kochhar and Amar Suri. To Evaluate the Severity of Hypertensive Retinopathy in Patients with Stroke and Hypertension Using Keith‐Wegener‐Barker (KWB) Classification.
DOI: https://doi.org/10.36478/10.36478/makrjms.2024.12.456.459
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2024.12.456.459