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Hipertensión 2004;21:197-204 - DOI: 10.1016/S1889-1837(04)71819-X
Importancia de la valoración del fondo de ojo en el paciente hipertenso
Importance of fundoscopic examination in hypertensive patients
C. Roldán Suárez, , J. Segura de la Morena, C. Campo Sien, J.M. Alcázar de la Ossa
Unidad de Hipertensión. Hospital 12 de Octubre. Madrid. España
Received 25 July 2003, Accepted 18 November 2003

The arterial hypertension is the main factor of risk for the development of cardiovascular diseases and also of vascular injuries in the retina. The ocular alterations of the HTA, they include three different and independent manifestations in the retina, optical nerve and coroidal circulation. The ophthalmologic examination made of habitual form in all hypertensive patient aid to value the gravity of the hypertension. The last guides of the European Society of Hypertension/ European Society of Cardiology (ESH/ESC) include to the fundoscopico examination within the methods to evaluate the target organ damage in the hypertensive patients. The existence of hemorrhagic and exudates it forced to make more aggressive an antihypertensive treatment, simultaneously that is made final reconnaissance. The recent development of techniques of photography of the eye bottom, it has allowed to one precise documentation of the signs microvasculars of the retina in the hypertension in studies made in general population. In numerous studies the correlation between the microvascular retinal injuries, the target organ damage and the development of diabetes has communicated, also to constitute predicting an independent predictor of ictus. We presented in this review the characteristics of the ocular injuries in the HTA appear, its classification and its correlation with the cardiovascular disease.

Palabras clave
fundoscopia, hipertensión arterial, retinopatía hipertensiva, retinopatía arterioesclerótica
Key words
fundoscopy, hypertension, hypertensive retinopathy, atherosclerotic retinopathy
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Correspondencia: Unidad de Hipertensión. Edificio de Medicina Comunitaria. Hospital 12 de Octubre. Avda. de Córdoba, s/n. 28041 Madrid. (C. Roldán Suárez cecildesanges@yahoo.com)
Copyright © 2004. Sociedad Española de Hipertension-Liga Española para la Lucha de la Hipertensión Arterial (SEH-LELHA)