Professional Documents
Culture Documents
HIPERTENSIN ARTERIAL
TAS
>
o igual a 130mmHg y
TAD
>
o igual a 85mmHg
prevalencia 30%
Etiologa desconocida
Cambios en la vasculatura sistmica
HTA
EPIDEMIOLOGA
4to
Velzquez MO, Rosas PM, Lara EA, Pasteln HG, Attie F, Tapia CR
Hipertensin arterial en Mxico: Resultados de la Encuesta Nacional de Salud (ENSA)
RETINOPATA HIPERTENSIVA
Relacin
Factores
con TA media
de riesgo
Prevalencia
Dodson PM, Lip GYH, Eames SM, Gibson JM and Beevers DG. Hypertensive retinopathy: a review of existing
classification systems and a suggestion for a simplified grading system. Journal of Human Hypertension 1996; 10:
93-98.
ASOCIACIONES
RETINOPATA HIPERTENSIVA
Vasoconstriccin generalizada,
hemorragias, manchas algodonosas, estrella
macular, manchas de Elschnig y edema de
papila
AGUDA
CRNICA
HIPERTENSIN ARTERIAL
VASOCONSTRICCIN Y
ARTERIOLOESCLEROSIS
AUTORREGULACIN
MANIFESTACIONES OCULARES DE LA
HTA
Retinopata Hipertensiva
Coroidopata Hipertensiva
Neuropata ptica
Hipertensiva
Dodson PM, Lip GYH, Eames SM, Gibson JM and Beevers DG. Hypertensive retinopathy: a review of existing
classification systems and a suggestion for a simplified grading system. Journal of Human Hypertension 1996; 10:
93-98.
MANIFESTACIONES OCULARES DE LA
HTA
Gravedad
Duracin
Rapidez
Estado
Dodson PM, Lip GYH, Eames SM, Gibson JM and Beevers DG. Hypertensive retinopathy: a review of existing
classification systems and a suggestion for a simplified grading system. Journal of Human Hypertension
1996; 10: 93-98.
FISIOPATOLOGA
Ausencia
de fibras
del SNA
autorregulacin
Prdida de L.
Elstica Interna y
M. Media
incompleta
BHR
Adventicia comn
Garner A. Pathogenesis of hypertensive retinopathy: a review. Journal of the Royal Society of Medicine. 1979,
FISIOPATOLOGA
Prdida de autorregulacin
Garner A. Pathogenesis of hypertensive retinopathy: a review. Journal of the Royal Society of Medicine. 1979,
FISIOPATOLOGA
HIPERPLASI
A DE LA
CAPA
MUSCULAR
ARTERIOLOESCLERO
SIS
ESCLEROSI
S REACTIVA
ATROFIA DE
LA CAPA
MUSCULAR
CAMBIOS VASCULARES
ARTERIOLOESCLEROS
IS
Prdida
de la
transparencia
Arteriolas en hilos de
cobre
Arteriolas en hilos de plata
Garner A. Pathogenesis of hypertensive retinopathy: a review. Journal of the Royal Society of Medicine. 1979, 72: 362365
CAMBIOS VASCULARES
SIGNO DE
GUNN
Rodrguez NA, Zurutuza A. Manifestaciones oftalmolgicas de la HTA. An Sist Sanit Navar. 2008; 31(3): 13-
SIGNO DE GUNN
CAMBIOS VASCULARES
SIGNO DE
SALUS
Segmento venoso en
bayoneta
Inversin de la
direccin venosa en
z
Rodrguez NA, Zurutuza A. Manifestaciones oftalmolgicas de la HTA. An Sist Sanit Navar. 2008; 31(3): 1322.
SIGNO DE SALUS
LESIONES EXTRAVASCULARES
Hemorragias
retinianas
Edema
retiniano o
Macular
Depsitos
lipdicos
Prdida de
fibras nerviosas
Rodrguez NA, Zurutuza A. Manifestaciones oftalmolgicas de la HTA. An Sist Sanit Navar. 2008; 31(3): 1322.
TRASUDADOS PERIARTERIOLARES
FOCALES INTRARRETINIANOS (TPIF)
Dodson PM, Lip GYH, Eames SM, Gibson JM and Beevers DG. Hypertensive retinopathy: a review of existing
classification systems and a suggestion for a simplified grading system. Journal of Human Hypertension
1996; 10: 93-98.
CLASIFICACIONES
CLASIFICACIN DE KEITH,
WAGENER Y BARKER (1939)
Dodson PM, Lip GYH, Eames SM, Gibson JM and Beevers DG. Hypertensive retinopathy: a review of existing
classification systems and a suggestion for a simplified grading system. Journal of Human Hypertension 1996; 10:
93-98.
Retinopata hipertensiva
Retinopata hipertensiva
CLASIFICACIN DE LA SOCIEDAD
AMERICANA DE OFTALMOLOGA (1947)
Retinopata
de la HT aguda
Retinopata de la HT crnica
Hipertensin terminal maligna
Hipertensin aguda en
Glomerulonefritis
Hipertensin terminal maligna en
Glomerulonefritis
Dodson PM, Lip GYH, Eames SM, Gibson JM and Beevers DG. Hypertensive retinopathy: a review of existing
classification systems and a suggestion for a simplified grading system. Journal of Human Hypertension
1996; 10: 93-98.
Dodson PM, Lip GYH, Eames SM, Gibson JM and Beevers DG. Hypertensive retinopathy: a review of existing
classification systems and a suggestion for a simplified grading system. Journal of Human Hypertension 1996; 10:
93-98.
CLASIFICACIN MODIFICADA DE
SCHEIE
GRADO
1
Grosso A. Hypertensive retinopathy revisited: some answers, more questions. Br J Ophthalmol 2005;89:1646
1654.
CLASIFICACIN MODIFICADA DE
SCHEIE
GRAD
O2
Grosso A. Hypertensive retinopathy revisited: some answers, more questions. Br J Ophthalmol 2005;89:1646
1654.
CLASIFICACIN MODIFICADA DE
SCHEIE
GRAD
O3
Grosso A. Hypertensive retinopathy revisited: some answers, more questions. Br J Ophthalmol 2005;89:1646
CLASIFICACIN MODIFICADA DE
SCHEIE
GRAD
O4
Grosso A. Hypertensive retinopathy revisited: some answers, more questions. Br J Ophthalmol 2005;89:1646
CLASIFICACIN DE SNCHEZ
SALORIO (1971)
Dodson PM, Lip GYH, Eames SM, Gibson JM and Beevers DG. Hypertensive retinopathy: a review of existing
classification systems and a suggestion for a simplified grading system. Journal of Human Hypertension 1996; 10: 93-
Angiopatas retinianas
Retinopata
Angiotonoa
Angioespasmo
Angioesclerosis
Angiotnica
Angioespstica
Angioesclerosa
Neurorretinopata
Angiooespstiva
Angioesclerosa
Coroidopata hipertensiva
AUSENCIA DE
PERFUSIN
LOBULILLAR
MANCHAS DE
ELSCHNIG
EDEMA
RETINIANO Y
MACULAR
DR EXUDATIVO
MANCHAS DE ELSCHNIG
FAG
Complicaciones de la retinopata
hipertensiva
Edema
de papila y
mcula
Trombosis venosa
Embolia retiniana
Neovascularizacin
DRE
TRATAMIENTO
Rodrguez NA, Zurutuza A. Manifestaciones oftalmolgicas de la HTA. An Sist Sanit Navar. 2008; 31(3): 13-