CAROTID DOPPLER PROFILE IN PATIENT WITH HYPERTENSIVE RETINOPATHY

Abstract

Background: Retinal vasculature is a unique part of the brain that visualized, which can show microvascular abnormality related to atherosclerosis process. Hypertension can caused vascular sclerosis either in large vessels of carotid or retinal microvasculature which showed in fundoscopic examination. Objective: This study aims to obtain the carotid abnormality with Carotid Doppler ultrasonography in hypertensive retinopathy patients and its contributing factors. Methods: This was a cross-sectional retrospective study using consecutive sampling from Neuro-Ophthalmology Division of Neurology Clinic of Cipto Mangunkusumo Hospital in January to December 2014. All patients, aged 40–80 years old with hypertensive retinopathy and had done Carotid Doppler examination. Hypertensive retinopathy graded according to Wong & Mitchell Classification. Statistical analysis was done using SPSS 15.0 for windows. Results: There were 35 subjects, men slightly more than women with both age mean is 60.5 ± 11.8 years old. Hypertension duration known mostly 10 years or bellow in 27 subjects (77.1%) and uncontrolled blood pressure in 28 subjects (80%). There were 25 subjects (71.4%) with carotid abnormality, mostly non stenotic plaque (54,3%). Mild hypertensive retinopathy occured in 32 subjects (81,4%) and the rest of it were moderate (3 subjects, 8.6%). Conclusion: Fundoscopic abnormality assumed may predict large vessels abnormality, hypertensive retinopathy in this study. This study suggested advanced, more-focused study, larger sample, and analytical method to obtain the correlation between retinal microvasculature and large vessels abnormality, especially carotid artery.