fundoscopy in pih
DESCRIPTION
FUNDOSCOPY IN PIH. RETINA Mirror to the cardiovascular system of the body FUNDOSCOPY Visualization of hypertensive changes PIH Retinal changes run parallel with the severity of hypertension hence that of pre-eclampsia. PROCEDURE. ONE DROP EVERY 10 MINUTES THREE TIMES FUNDOSCOPY - PowerPoint PPT PresentationTRANSCRIPT
FUNDOSCOPY FUNDOSCOPY ININ PIH PIHRETINA RETINA
Mirror to the cardiovascular system of the Mirror to the cardiovascular system of the bodybody
FUNDOSCOPYFUNDOSCOPYVisualization of hypertensive changesVisualization of hypertensive changes
PIHPIHRetinal changes run parallel with the severity Retinal changes run parallel with the severity of hypertension hence that of pre-eclampsia.of hypertension hence that of pre-eclampsia.
PROCEDUREPROCEDURE
ONE DROPEVERY 10 MINUTESTHREE TIMES
FUNDOSCOPYAFTER ONE HOURBEFORE FOUR HOURS
SYSTEMIC HYPERTENSIONSYSTEMIC HYPERTENSION
VASOSPASMVASOSPASM
VASOSCLEROSISVASOSCLEROSIS
RETINOPATHYRETINOPATHY
NORMAL FUNDUSNORMAL FUNDUS
Uniform CaliberUniform Caliber
Smooth sinuous Smooth sinuous coursecourse
Brach at obtuse Brach at obtuse angleangle
VASOSPASMVASOSPASM
NARROWINGNARROWING
STRAIGHTENINGSTRAIGHTENING
ACUTE ANGLEDACUTE ANGLED BRANCHINGBRANCHING
A-V RATIO 1:3A-V RATIO 1:3
VASOSCLEROSISVASOSCLEROSIS
SALU’S SIGNSALU’S SIGNDeflection in the course of the vein at Deflection in the course of the vein at
the Arterio-venous crossingthe Arterio-venous crossing
VASOSCLEROSISVASOSCLEROSIS
GUNN’S SIGNGUNN’S SIGNConcealment of the veinConcealment of the vein
beneath the artery beneath the artery at the Arterio-venous crossingat the Arterio-venous crossing
RETINOPATHYRETINOPATHY
SOFT EXUDATESSOFT EXUDATESRETINAL HEMORRHAGESRETINAL HEMORRHAGES
RETINAL EDEMARETINAL EDEMAHARD EXUDATESHARD EXUDATES
RETINAL DETACHMENTRETINAL DETACHMENT
RETINOPATHYRETINOPATHY
Occulsion of precapillry arterioleOcculsion of precapillry arterioleCapillary nonperfusionCapillary nonperfusionLocalised axoplasmic stasisLocalised axoplasmic stasisCompact yellowish white fluffy lesionsCompact yellowish white fluffy lesionsCotton wool spotsCotton wool spots
SOFT EXUDATES
RETINOPATHYRETINOPATHY
Fibrinoid necrosis in the vessel wallFibrinoid necrosis in the vessel wallLocated in the Nerve fibre layer of retinaLocated in the Nerve fibre layer of retina
Bright red flamed shaped hemorrhageBright red flamed shaped hemorrhage
FLAME SHAPEDHAEMORRGHAGES
RETINOPATHYRETINOPATHY
Increased capillary PermeabilityIncreased capillary PermeabilityRetinal edemaRetinal edemaPrecipitation of lipidsPrecipitation of lipidsDiscrete dense yellow lesions Discrete dense yellow lesions Macular starMacular star
HARD EXUDATES
MACULAR STAR
RETINAL DETACHMENTRETINAL DETACHMENT
Accumulation of Serous fluid between
Retinal pigment epithelium and
Neurosensory retina
LOCALISED RETINAL DETACHMENT
RETINAL DETACHMENTRETINAL DETACHMENT
TOTAL BULLOUS DETACHMENT
OPTIC DISC EDEMAOPTIC DISC EDEMA
MALIGNANT HYPERTENSIVE RETINOPATHY
KEITH-WAGENER-BARKERKEITH-WAGENER-BARKER19391939
FEATURESFEATURES K-W-R K-W-R GRADINGGRADING
SURVIVALSURVIVAL
Narrowing of the retinal arteriesNarrowing of the retinal arteries II EXCELLENTEXCELLENT
A-V CHANGESA-V CHANGESSALU’S SIGN AND GUNN’S SIGNSALU’S SIGN AND GUNN’S SIGN IIII GOODGOOD
RETINOPATHYRETINOPATHYSOFT EXUDATESSOFT EXUDATESFLAME HAEMORRHAGESFLAME HAEMORRHAGESHARD EXUDATESHARD EXUDATESRETINAL EDEMA/RETINALRETINAL EDEMA/RETINALDetachmentDetachment
IIIIII POORPOOR
DISC EDEMADISC EDEMA IVIV VERY POORVERY POOR
AMERICAN AMERICAN OPHTHALMOLOGICAL SOCEITYOPHTHALMOLOGICAL SOCEITY
K-W-RK-W-RGRADINGGRADING
AOAAOAGRADINGGRADING
FEATURESFEATURES
OO Normal fundusNormal fundus
II I I IIII
Focal NarrowingFocal Narrowing
Diffuse generalised narrowingDiffuse generalised narrowing
IIIIIIIIII IIIIII RETINOPATHYRETINOPATHY
SOFT EXUDATES/FLAME HAEMORRHAGESSOFT EXUDATES/FLAME HAEMORRHAGESRETINAL EDEMA/RETINAL DETACHMENTRETINAL EDEMA/RETINAL DETACHMENT
IVIV IVIV DISC EDEMADISC EDEMA
IMPLICATIONIMPLICATIONFEATURESFEATURES PREGNANCYPREGNANCY
NORMAL FUNDUSNORMAL FUNDUS
CONTINUECONTINUEFOCAL NARROWINGFOCAL NARROWINGDIFFUSE NARROWINGDIFFUSE NARROWING
RETINOPATHYRETINOPATHYSOFT EXUDATESSOFT EXUDATESFLAME HAEMORRHAGESFLAME HAEMORRHAGESHARD EXUDATESHARD EXUDATESRETINAL EDEMA/RDRETINAL EDEMA/RD
TERMINATETERMINATE
DISC EDEMADISC EDEMA
FUNDOSCOPY IN PIHFUNDOSCOPY IN PIH
CONTINUE
TERMINATE
PROGNOSISPROGNOSIS