HYPERTENSION CASE STUDIES

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Patient Profile
AGE

30 year old

Gender

Female

Last
Eye Exam

Three years ago

Current
Rx

OD 20/60 OS 20/40

Medical
History

Medical and ocular histories were unremarkable.

Chief
Complaint

Slightly blurry vision at distance

Uncorrected
Visual Distance

Myopia OU and astigmatism OD with best corrected visual acuities of 20/30 OD and 20/25 OS.

EXAM PROTOCOL

Upon retinal examination, her cup to disc ratio was approximately 0.25 OU.Dot and flame hemorrhages, vessel tortuosity, and aggressive sheen were found OU as well as cotton wool spots OD. Anterior segment and IOP findings were normal and unremarkable. Due to language barrier difficulties, the patient was not able to complete the visual field screening device, but confrontation fields were normal. The patient's blood pressure was unable to be measured due to lack of a blood pressure cuff in the office, but hypertensive retinopathy was suspected.

CONCLUSION

Immediately referred for in-person exam and treatment.

PHOTOS

Dot, Flame Hemorrhages, Blood Vessel Tortuosity

EXAM EQUIPMENT
  • Topcon NW 400 Non-Mydriatic Retinal Camera
  • Oculus Easyfield C
  • Marco Ion Anterior Segment Slit Lamp Camera
  • Topcon SL-D2 Slit Lamp
  • 2020Now Eyelogic X2 Refraction System
  • Canon Tx-20 Auto tonometer
  • Topcon KR-1 Auto Tonometer and AutoKeratometer.
Patient Profile
AGE

58 year old

Gender

Female

Last
Eye Exam

Two years ago

Current
Rx

OD 20/20-1 OS 20/25

Medical
History

Personal ocular and systemic history were unremarkable and she reported no other visual symptoms or pain.

Chief
Complaint

Blurry vision for several months

Uncorrected
Visual Distance

Vision with current spectacles was 20/20 OD and 20/25 OS at distance, and 20/20 OD and 20/20 OS at near. The patient has hyperopia, astigmatism, and presbyopia OU and has a best corrected visual acuity of 20/20 OD and 20/20 OS.

EXAM PROTOCOL

Slit lamp exam was significant for pingueculae OU, mild arcus OU, and nuclear sclerosis OU. Pupil testing was normal. Fundus photos revealed C/D ratios of approximately 0.2 OU and tortuosity of blood vessels. Optic nerves had slightly indistinct nasal margins OU. The patient's screening visual fields were within normal limits. The patient's intraocular pressures were measured with non-contact tonometry to be about 40-51 mmHg OU with each eye tested twice.

CONCLUSION

Significantly above normal limits. The patient's prescription was put on hold and she was referred to see an ophthalmologist in-person as soon as possible to lower the intraocular pressure.

PHOTOS

Blood Vessel Tortuosity, Slightly Indistinct nasal optic nerve margins

EXAM EQUIPMENT
  • Topcon NW 400 Non-Mydriatic Retinal Camera
  • Oculus Easyfield C
  • Marco Ion Anterior Segment Slit Lamp Camera
  • Topcon SL-D2 Slit Lamp
  • 2020Now Eyelogic X2 Refraction System
  • Canon Tx-20 Auto tonometer
  • Topcon KR-1 Auto Tonometer and AutoKeratometer.