Why the study?
Changing approaches to the management of arterial hypertension and cardiovascular risk assessment required re-evaluating the role of fundoscopy in routine clinical practice.
Does routine fundoscopy provide prognostic value in patients with mild to moderate arterial hypertension?
Does routine fundoscopy provide prognostic value in patients with mild to moderate arterial hypertension?
Routine fundoscopy is not recommended for mild-to-moderate hypertension without diabetes, but remains indicated for resistant or difficult-to-control hypertension.
Changing approaches to the management of patients with arterial hypertension, reflected in international recommendations regarding, including diagnosis, determination of a cardiovascular risk, required to return to the issue of the place of fundoscopy in routine clinical practice. Recent studies have clarified the prevalence of various retinopathy options using new, highly accurate instruments. A large number of works are devoted to the study of the prognostic role of fundoscopy, and here the opinions of researchers are unequivocal: the detection of signs of the initial stages of retinopathy has a very little effect on patient management. It should be agreed with the opinion of experts from the European Cardiology Society that fundoscopy is indicated mainly in patients with difficult to control or resistant hypertension, and is not recommended for people with mild to moderate hypertension, not suffering from diabetes, with the exception of young patients.
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Dotsenko et al. (2020) studied this question.
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