Ophthalmoscopic findings in malignant hypertension.

  title={Ophthalmoscopic findings in malignant hypertension.},
  author={Stephen D Hammond and Jill Razor Wells and Dennis M. Marcus and Louis Michael Prisant},
  journal={Journal of clinical hypertension},
  volume={8 3},
Malignant hypertension may present with retinopathy, choroidopathy, and optic neuropathy. Flame-shaped retinal hemorrhages, an early finding, are due to smooth muscle necrosis and bleeding along the nerve fiber layer. Cotton-wool spots, or cytoid bodies, are not exudates, but rather are retinal infarcts. Hypertensive optic neuropathy is a late finding. Optical coherence tomography is a relatively new imaging technique for evaluating retinal thickness and the location of pathology in patients… CONTINUE READING
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