Retinal lesion characteristics and associated factors in hypertensive patients at E Hospital in 2025
Main Article Content
Abstract
Hypertensive retinopathy (HR) is one of the common ocular complications of systemic hypertension and reflects the severity of systemic vascular damage, including stroke and cardiovascular disease. This study aimed to describe retinal lesions associated with hypertension and to evaluate the relationship between hypertensive retinopathy and selected risk factors. A cross-sectional descriptive study was conducted on 306 eyes from 154 hypertensive patients at E Hospital from May to September 2025. Among 306 eyes examined, the prevalence of HR was 61.1%, with mild stage being predominant (46.7%). Generalized arteriolar narrowing was the earliest lesion observed. Risk factors significantly associated with HR included duration of hypertension longer than 10 years (OR = 3.615, 95% CI: 1.733 - 7.542, p < 0.0001) and unstable blood pressure control (OR = 5.238, 95% CI: 2.447 - 11.406, p < 0.0001). Moderate-stage HR increased the risk of stroke by 20-fold compared with the mild stage (95% CI: 2.283 - 176.944, p = 0.002).
Article Details
Keywords
Hypertension, hypertensive retinopathy
References
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