Severin M, Finke K
Klin Monbl Augenheilkd. 1979 Jan;174(1):19-27.
In 102 patients on dialysis for renal failure late fundus controls have been done to studie the response of retinal vessels to blood pressure reduction. In 52 patients follow up studies were possible. Only 4 patients showed reversible changes of the vessels, in 4 other patients changes increased. In the majority of the patients hypertensive vascular changes (stage I or II) remained unchanged. Young age and deep diastolic pressure seems to be necessary for normalization of the fundus vessels. Vessel changes did not improve if the diastolic pressure was 90--100 mmHg and more.
对102例因肾衰竭接受透析治疗的患者进行了眼底晚期检查,以研究视网膜血管对血压降低的反应。其中52例患者可进行随访研究。只有4例患者显示血管有可逆性变化,另外4例患者的变化有所增加。大多数患者的高血压血管病变(I期或II期)保持不变。眼底血管恢复正常似乎需要年轻和较低的舒张压。如果舒张压为90 - 100mmHg或更高,血管病变不会改善。