Fraser-Bell Samantha, Symes Richard, Vaze Anagha
Save Sight Institute, Sydney University, Sydney, New South Wales, Australia.
Sydney Adventist Hospital Clinical School, Sydney University, Sydney, New South Wales, Australia.
Clin Exp Ophthalmol. 2017 Jan;45(1):45-53. doi: 10.1111/ceo.12905. Epub 2017 Jan 21.
Hypertension is a risk factor for a number of vision-threatening eye conditions including retinal vascular occlusion, retinal macroaneurysm and non arteritic anterior ischaemic optic neuropathy. In addition, hypertension may exacerbate the vision-threatening effects of diabetic retinopathy and has been implicated in the pathogenesis of age-related macular degeneration. The effects of sustained hypertension are directly visible in the eye as hypertensive retinopathy and choroidopathy, reflecting a pathological process occurring throughout the body. Close collaboration between ophthalmologists and general practitioners/physicians is needed to ensure that hypertensive patients are identified and treated. Timely intervention in these patients may reduce the risk of both vision-threatening and systemic complications.
高血压是多种威胁视力的眼部疾病的危险因素，包括视网膜血管阻塞、视网膜大动脉瘤和非动脉炎性前部缺血性视神经病变。此外，高血压可能会加剧糖尿病视网膜病变对视力的威胁作用，并且与年龄相关性黄斑变性的发病机制有关。持续性高血压的影响在眼部直接表现为高血压性视网膜病变和脉络膜病变，反映出全身正在发生的病理过程。眼科医生与全科医生/内科医生需要密切合作，以确保识别并治疗高血压患者。对这些患者进行及时干预可能会降低视力威胁和全身并发症的风险。
