Common pathologies of the eye, Normal fundus, Hypertensive retinopathy – Welch Allyn A Guide To The Use Of Diagnostic Instruments In Eye And Ear Examinations - Quick Reference Guide User Manual

Page 7: Hypertensive retinopathy (advanced malignant), Central retinal vein occlusion, Nonproliferative diabetic retinopathy

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Common Pathologies of the Eye

NORMAL FUNDUS

Disc:

Outline clear; central physiological cup is pale

Retina:

Normal red/orange color, macula is dark; avascular
area temporally

Vessels: Arterial/venous ratio 2 to 3; the arteries appear a bright

red, the veins a slightly purplish color

HYPERTENSIVE RETINOPATHY

Disc:

Outline clear

Retina:

Exudates and flame hemorrhages

Vessels: Attenuated arterial reflex

HYPERTENSIVE RETINOPATHY

(ADVANCED MALIGNANT)

Disc:

Elevated, edematous disc; blurred disc margins

Retina:

Prominent flame hemorrhages surrounding vessels
near disc border

Vessels: Attenuated retinal arterioles

CENTRAL RETINAL VEIN OCCLUSION

Disc:

Virtually obscured by edema and hemorrhages

Retina:

Extensive blot retinal hemorrhages in all quadrants
to periphery

Vessels: Dilated tortuous veins; vessels partially obscured

by hemorrhages

INFERIOR BRANCH RETINAL ARTERY
OCCLUSION DUE TO EMBOLUS

Disc:

Prominent embolus at retinal artery bifurcation

Retina:

Inferior retina shows pale, milky edema; superior
retina is normal

Vessels: Inferior arteriole tree greatly attenuated and irregular;

superior vessel is normal

NONPROLIFERATIVE DIABETIC RETINOPATHY

Disc:

Normal

Retina:

Numerous scattered exudates and hemorrhages

Vessels: Mild dilation of retinal veins

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