Hypertensive retinopathy is a critical indicator of end‐organ damage resulting from systemic hypertension. Understanding the correlation between blood pressure control and retinopathy severity can guide more effective management strategies for hypertension. The aim of the study was to investigate the relationship between the control of systemic hypertension and the severity of hypertensive retinopathy in a clinical setting and to determine if specific blood pressure thresholds exist that correlate with reduced severity of retinal changes. This cross‐sectional study was conducted at Kamineni Institute of Medical Sciences, Department of Ophthalmology. Seventy‐five hypertensive patients aged 40‐70 were assessed using slit‐lamp examination, fundus photography, and optical coherence tomography (OCT) to determine the severity of hypertensive retinopathy, classified according to the Keith‐Wagener‐Barker system. Blood pressure measurements were categorized into control levels based on current guidelines. The study findings highlighted a significant correlation between tighter blood pressure control and reduced signs of hypertensive retinopathy. Patients with well‐controlled hypertension displayed mostly mild to moderate retinopathy (Grades I and II), while those with poorly controlled hypertension often presented with severe to very severe retinopathy (Grades III and IV). Data analysis showed a clear pattern linking lower blood pressure levels to less severe retinopathy changes. Effective blood pressure management is crucial in preventing and potentially reversing the severity of hypertensive retinopathy. This study underscores the importance of stringent blood pressure control to minimize ocular damage in hypertensive patients and suggests a potential threshold for blood pressure targets that could mitigate retinal vascular changes.
Guntupalli Sri Vishnu Sai Krishna, Mamata M. Shetty, K. Tejaswi and P. Sudhir Babu. Associations between Blood Pressure Management and Hypertensive Retinopathy Severity in a Clinical Setting.
DOI: https://doi.org/10.36478/10.59218/makrjms.2024.6.53.57
URL: https://www.makhillpublications.co/view-article/1815-9346/10.59218/makrjms.2024.6.53.57