The Retina in Hypertensive Disease

Article1 December 1957THE RETINA IN HYPERTENSIVE DISEASESAMUEL A. SHELBURNE, M.D., F.A.C.P.SAMUEL A. SHELBURNE, M.D., F.A.C.P.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-47-6-1154 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptINTRODUCTIONThere is an increasing interest among internists in the retinal changes appearing in medical diseases, especially in hypertension and diabetes. The recognition of the necessity on the part of physicians to master the ophthalmoscopic technic required to learn the appearance and significance of these lesions is not so widespread as it might be. A retinal examination requires a considerable discipline, so all too often we see vague descriptions of the retina in otherwise excellent physical examination records, usually ending triumphantly in a phrase such as "Grade II retinopathy," when it is obvious that the examiner had no notion of...Bibliography1. WagenerKeith HPNM: Diffuse arteriolar disease with hypertension and the associated retinal lesions, Medicine 18: 317-430 (Sept.) 1939. CrossrefGoogle Scholar2. Milton J: Paradise lost, Book II, Line 995, Caskell, Petter and Gelkin, New York and London, 1866. Google Scholar3. Gunn RM: Peculiar appearance of the retina in the vicinity of the optic disk occurring in several members of the same family, Tr. Ophth. Soc. U. Kingdom 3: 110, 1883. Google Scholar4. O'HareWalker JPWG: Arteriosclerosis and hypertension, Arch. Int. Med. 33: 343 (Mar.) 1924. CrossrefGoogle Scholar5. Friedenwald JS: The pathology of the eye, 1929, The Macmillan Company, New York. Google Scholar6. Ballantyne AJ: The evolution of retinal vascular disease, Trans. Ophth. Soc. U. Kingdom 57: 301, 1937. Google Scholar7. ShelburneHawleyMcGee SJLAS: Retinal arteriovenous nicking: relation to enlargement of the heart in ambulatory patients with hypertension, Arch. Int. Med. 69: 213 (Feb.) 1942. CrossrefGoogle Scholar8. Shelburne SA: Retinal arteriovenous nicking: a long term study of the development of arteriovenous nicking in hypertensive patients, Arch. Int. Med. 83: 377 (Apr.) 1949. CrossrefGoogle Scholar9. ShelburneBlainO'Hare SADJP: The spinal fluid in hypertension, J. Clin. Investigation 11: 489 (May) 1932. CrossrefMedlineGoogle Scholar10. Pickering GW: The cerebro-spinal fluid pressure in arterial hypertension, Clin. Sc. 1: 397 (Dec.) 1934. Google Scholar11. BallantyneLoewenstein AJA: Retinal micro-aneurysms and punctate hemorrhages, Brit. J. Ophth. 38: 593, 1944. CrossrefGoogle Scholar12. Ballantyne AJ: Retinal changes associated with diabetes and with hypertension: comparison and contrast, Arch. Ophth. 33: 97 (Feb.) 1945. CrossrefGoogle Scholar13. WexlerBranower DG: Retinal capillary lesions in malignant hypertension, Arch. Ophth. 44: 539, 1950. CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Dallas, Texas*Presented as a Morning Lecture at the Thirty-eighth Annual Session of The American College of Physicians, Boston, Massachusetts, April 12, 1957.From the Hypertension Clinic, Parkland Hospital, Dallas, Texas, and the Department of Medicine, University of Texas Southwestern Medical School.Requests for reprints should be addressed to Samuel A. Shelburne, M.D., Associate Professor of Medicine, University of Texas Southwestern Medical School, Dallas, Texas. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byThe Optic Fundus and Retinal Circulation: New Technology for an Old ExaminationRetinal Microvascular Abnormalities and their Relationship with Hypertension, Cardiovascular Disease, and MortalityVascular changes in the eye of the treated and untreated patient with essential hypertension 1 December 1957Volume 47, Issue 6Page: 1154-1164KeywordsEdemaHospital medicineHypertensionLesionsRetinaRetinopathyThrombosis ePublished: 1 December 2008 Issue Published: 1 December 1957 PDF downloadLoading ...