OBJECTIVE OF STUDY: To detect retinal signs in patients with primary hypertension.
DESIGN OF STUDY: Hospital based prospective study.
PLACE OF STUDY: Department of Medicine Unit II, Chandka Medical College Hospital Larkana.
DURATION OF STUDY: One year from January 2010 to December 2010.
MATERIAL AND METHODS: Our study included evaluation of 495 patients of age greater than
20 years with primary systemic hypertension (BP>139/89mmHg) for presence of retinopathy.
The hypertension was detected by physician with sphygmomanometer and the retinopathy was
detected by ophthalmologist with fundoscopy. The type and severity of hypertensive retinopathy was graded on the basis of KEITH-WAGENER CLASSIFICATION. The investigations advised
were complete blood cell count, complete urine examination; sugar fasting, lipid profile, blood
urea, serum creatinine, electrocardiogram, echocardiography and X-Ray chest PA-view. Only
known patients of primary hypertension were included in this study and patients of primary hypertension with other retinal vessel diseases and secondary hypertension were excluded.
RESULTS: We evaluated 495 patients, 317(64.04%) males and 178 (35.95%) females aged 20
years and above. (P value=
Retinal signs - primary hypertension.