2020–2021 BCSC Basic and Clinical Science Course™
12 Retina and Vitreous
Part II: Disorders of the Retina and Vitreous
Chapter 06: Retinal Vascular Diseases Associated With Cardiovascular Disease
Systemic Arterial Hypertension
Hypertensive Optic Neuropathy
Patients with optic neuropathy secondary to severe hypertension may exhibit linear peripapillary flame-shaped hemorrhages, blurring of the optic nerve head margins, florid optic nerve head edema with secondary retinal venous stasis, and macular exudates (Fig 6-4). The differential diagnosis for patients with this clinical appearance includes CRVO, anterior ischemic optic neuropathy, diabetic papillopathy, radiation papillopathy, and neuroretinitis.
Excerpted from BCSC 2020-2021 series: Section 10 - Glaucoma. For more information and to purchase the entire series, please visit https://www.aao.org/bcsc.