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EVALUATION OF OPHTHALMOSCOPIC CHANGES OF HYPERTENSION AND ARTERIOLAR SCLEROSIS

EVALUATION OF OPHTHALMOSCOPIC CHANGES OF HYPERTENSION AND ARTERIOLAR SCLEROSIS Abstract FOR THE subject of this lecture, I have selected the ophthalmoscopic changes associated with hypertension and arteriolar sclerosis. I shall emphasize certain concepts which are of value in interpreting the ophthalmoscopic signs of these diseases and describe a system of grading these changes which has proved useful to me.1 Although exhaustive descriptions of these changes are available, the literature on their significance is at times confusing and in many instances contradictory. The three most important reasons for this state of our knowledge are the following: (1) failure to realize that most of the retinal arterial tree is arteriolar in nature, a point emphasized repeatedly by Wagener and associates2 and Friedenwald3; (2) failure to utilize knowledge made available by the pathologist and the physiologist of the changes occurring in vessels of similar size elsewhere in the body; (3) inaccurate use of the term "arteriosclerosis." Arteriosclerosis is a general References 1. Scheie, H. G.: Retinal Changes Associated with Hypertension and Arteriosclerosis , Ill. M. J. 101:126, 1952. 2. Wagener, H. P.: Retinitis of Malignant Hypertension , Tr. Am. Ophth. Soc. 25:349, 1927. 3. Wagener, H. P.; Keith, N. M., and Kernohan, J. W.: Syndrome of Malignant Hypertension , Arch. Int. Med. 41:141, 1928.Crossref 4. Wagener, H. P.: Clinical Interpretation of Retinal Vascular Lesions in Hypertension and Nephritis , Pennsylvania M. J. 40:705, 1937. 5. Keith, N. M.; Wagener, H. P., and Barker, N. W.: Some Different Types of Essential Hypertension: Their Course and Prognosis , Am. J. M. Sc. 197:332, 1939.Crossref 6. Wagener, H. P.: Retinopathy in Glomerulonephritis , Am. J. M. Sc. 209:257, 1945.Crossref 7. Friedenwald, J. S.: Retinal and Choroidal Arteriosclerosis , in Ridley, F., and Sorsby, A.: Modern Trends in Ophthalmology , New York, Paul B. Hoeber, Inc., 1940, p. 77; 82. 8. Bell, E. T.: A Text-Book of Pathology , Ed. 5, Philadelphia, Lea & Febiger, 1944, pp. 594-600. 9. Keys, A.; Mickelsen, O.; Miller, E. V. O., and Chapman, C. B.: Relation in Man Between Cholesterol Levels in the Diet and in the Blood , Science 112:79, 1950.Crossref 10. Gofman, J. W., and others: Blood Lipids and Human Atherosclerosis , Circulation 2:161, 1950.Crossref 11. Smithwick, R. H.: Hypertensive Cardiovascular Disease: Effect of Thoracolumbar Splanchnicectomy on Mortality and Survival Rates , J. A. M. A. 147:1611, 1951.Crossref 12. Wagener, H. P.; Clay, G. E., and Gipner, J. R.: Retina in the Presence of Vascular Hypertension, report submitted to the American Ophthalmological Society by the Committee on Classification of Hypertensive Disease of the Retina, 1946. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png A.M.A. Archives of Ophthalmology American Medical Association

EVALUATION OF OPHTHALMOSCOPIC CHANGES OF HYPERTENSION AND ARTERIOLAR SCLEROSIS

SCHEIE, HAROLD G.
A.M.A. Archives of Ophthalmology , Volume 49 (2) – Feb 1, 1953
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References (13)

Publisher
American Medical Association
Copyright
Copyright © 1953 American Medical Association. All Rights Reserved.
ISSN
0096-6339
DOI
10.1001/archopht.1953.00920020122001
Publisher site
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Abstract

Abstract FOR THE subject of this lecture, I have selected the ophthalmoscopic changes associated with hypertension and arteriolar sclerosis. I shall emphasize certain concepts which are of value in interpreting the ophthalmoscopic signs of these diseases and describe a system of grading these changes which has proved useful to me.1 Although exhaustive descriptions of these changes are available, the literature on their significance is at times confusing and in many instances contradictory. The three most important reasons for this state of our knowledge are the following: (1) failure to realize that most of the retinal arterial tree is arteriolar in nature, a point emphasized repeatedly by Wagener and associates2 and Friedenwald3; (2) failure to utilize knowledge made available by the pathologist and the physiologist of the changes occurring in vessels of similar size elsewhere in the body; (3) inaccurate use of the term "arteriosclerosis." Arteriosclerosis is a general References 1. Scheie, H. G.: Retinal Changes Associated with Hypertension and Arteriosclerosis , Ill. M. J. 101:126, 1952. 2. Wagener, H. P.: Retinitis of Malignant Hypertension , Tr. Am. Ophth. Soc. 25:349, 1927. 3. Wagener, H. P.; Keith, N. M., and Kernohan, J. W.: Syndrome of Malignant Hypertension , Arch. Int. Med. 41:141, 1928.Crossref 4. Wagener, H. P.: Clinical Interpretation of Retinal Vascular Lesions in Hypertension and Nephritis , Pennsylvania M. J. 40:705, 1937. 5. Keith, N. M.; Wagener, H. P., and Barker, N. W.: Some Different Types of Essential Hypertension: Their Course and Prognosis , Am. J. M. Sc. 197:332, 1939.Crossref 6. Wagener, H. P.: Retinopathy in Glomerulonephritis , Am. J. M. Sc. 209:257, 1945.Crossref 7. Friedenwald, J. S.: Retinal and Choroidal Arteriosclerosis , in Ridley, F., and Sorsby, A.: Modern Trends in Ophthalmology , New York, Paul B. Hoeber, Inc., 1940, p. 77; 82. 8. Bell, E. T.: A Text-Book of Pathology , Ed. 5, Philadelphia, Lea & Febiger, 1944, pp. 594-600. 9. Keys, A.; Mickelsen, O.; Miller, E. V. O., and Chapman, C. B.: Relation in Man Between Cholesterol Levels in the Diet and in the Blood , Science 112:79, 1950.Crossref 10. Gofman, J. W., and others: Blood Lipids and Human Atherosclerosis , Circulation 2:161, 1950.Crossref 11. Smithwick, R. H.: Hypertensive Cardiovascular Disease: Effect of Thoracolumbar Splanchnicectomy on Mortality and Survival Rates , J. A. M. A. 147:1611, 1951.Crossref 12. Wagener, H. P.; Clay, G. E., and Gipner, J. R.: Retina in the Presence of Vascular Hypertension, report submitted to the American Ophthalmological Society by the Committee on Classification of Hypertensive Disease of the Retina, 1946.

Journal

A.M.A. Archives of Ophthalmology – American Medical Association

Published: Feb 1, 1953

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