Hypertensive retinal angiopathy – symptoms and signs, treatment with folk remedies and

StageFeatures
Functional changesArteries narrow and some veins expand. This leads to the fact that microcirculation changes.
Organic changes in the retinaThey are characterized by a pathology of the structure of the artery wall – thickening and replacement with connective tissue. The artery is compressed, which leads to a violation of the blood supply and outflow of blood. On examination, small areas of retinal edema and small hemorrhages, narrowed arteries and dilated veins are visible.
AngioretinopathyAppears due to dysfunction of the retina with a significant violation of microcirculation. When examining the fundus, areas of a microinfarction are identified that develop due to impaired blood flow. Retinal fat is also found. Arteries are even narrower, the number of edema and hemorrhage becomes greater.

You will learn about what hypertensive retinal angiopathy is, what this scary-sounding disease threatens with, how to deal with it and how to prevent its occurrence. This is very useful information, since it is in the modern world that this disease begins to manifest itself more and more often. Accordingly, you need to learn as much as possible about what hypertensive retinal angiopathy is, so that, if necessary, fight it as efficiently as possible.

Each disease has its own stages, which differ in specific symptoms and other indicators. Hypertensive retinal angiopathy (OU) is not different from other diseases, in this case there are three stages that you should be aware of. The first stage is almost imperceptible, during which a violation of blood circulation in the vessels of the eye begins, but it is not very noticeable, therefore, it is simply impossible to determine the occurrence of the disease.

To do this, you need to purposefully examine the fundus of the optometrist, and if you do this, you can save yourself from a lot of problems. In fact, if you suffer from hypertension, then you should take care of all aspects of your health, including the eyes, periodically checking your eyesight. This is the only way hypertensive retinal vascular angiopathy can be prevented. However, prevention will be discussed a little later, now it is worth taking a look at the remaining two stages of the development of the disease.

In the second stage, seals appear in the vessels of the eyes, which causes a serious violation of the blood supply to the retina of the eye. At this stage, the presence of the disease can already be seen with the naked eye. As for the third stage, then you better not bring to it in any case. If you see that you already have signs of the second stage of the disease, consult a doctor right away, since the third stage can lead to complete loss of vision due to the exudate that forms at the bottom of the eyeball.

So now you know what it is. Hypertensive retinal vascular angiopathy is a disease that definitely should not be joked. However, if you still have it, you should carefully read the other half of the article on its diagnosis, symptoms and treatment.

The disease develops with a prolonged course of hypertension.

Hypertensive angiopathy of the retinal vessels suggests the presence of several stages:

  • Functional level changes. They are characterized by the expansion of a number of veins and narrowing of the arteries, as a result of which the microcirculation of the blood is disturbed. At this stage, the pathological process is mild and can only be detected by examination of the fundus.
  • Organic processes. Upon transition to this stage, the structure of the walls of the vessels changes. They become denser and are subsequently replaced by connective tissue. Thickening of the walls provokes insufficient blood supply to the retina. At this stage, the manifestation of the disease becomes more noticeable. A slight swelling of the retina is noted, hemorrhages are often visible. When examined by a specialist, narrowed arteries and dilated veins are visible, which become branched. Vascular gloss is noted, which is explained by the compaction of the walls.
  • Angioretinopathy. Circulatory disturbance reaches a critical indicator, which provokes the appearance on the fundus of the fundus of exudate soft or hard consistency. It is a liquid containing proteins, red blood cells, white blood cells, minerals and microbes that provoke inflammation. At this stage, there is a significant visual impairment, there is a likelihood of complete blindness.

Causes of Angiopathy

People over the age of 30 are more likely to have angioretinopathy, but cases of juvenile angiopathy are rarely recorded. The nature of the pathology remains unclear to this day. The alleged causes of hypertensive-type retinal angiopathy are:

  • work with harmful chemicals;
  • the presence of systemic vasculitis of an autoimmune type;
  • high blood pressure;
  • intoxication;
  • ischemic changes;
  • congenital vascular permeability defects;
  • blood diseases;
  • smoking;
  • atherosclerosis of the walls of blood vessels;
  • elderly age;
  • cardiovascular pathologies;
  • diabetes;
  • eye injuries;
  • malfunctioning of nerve tissue;
  • cervical osteochondrosis;
  • high intracranial pressure.

Indicate your pressure

  • persistent and frequent increase in blood pressure;
  • increased blood sugar, dyslipidemia;
  • endocrinological pathologies;
  • work related to constant eye strain;
  • excess body weight;
  • deficiency of magnesium and vitamins;
  • frequent stressful situations;
  • eating foods high in carbohydrates and fats;
  • bad habits;
  • pathology of the structure of the vessels of the eye;
  • increased intracranial pressure;
  • ridge disease;
  • traumatic brain injury;
  • age.

Symptoms of the disease

Many people ignore obvious symptoms without suspecting that they signal a disease. Accordingly, if you do not want to lose your vision, you should pay attention to specific symptoms. If you begin to develop angiopathy, then your eyesight will slightly deteriorate, it will periodically become cloudy with a pressure drop in the body.

Also, greasy spots may appear on the eyes, and people suffering from myopia will notice that it begins to progress very quickly. Also symptoms are some things not related to the eyes, such as nose and gastrointestinal bleeding. In addition, you may experience severe pain in your legs.

As a rule, hypertensive retinal angiopathy affects both eyes at the same time. The disease can occur in people of any age, but is often observed in patients after 30 years.

Hypertensive angiopathy in both eyes is characterized by a number of symptoms:

  • periodic violation of clarity of vision (provoked by pressure spikes);
  • slight deterioration in the ability to see (with organic changes);
  • significant visual impairment or blindness with angioretinopathy;
  • yellow spots on the eyes (body fat);
  • pain in the eyes;
  • the presence of blood in the urine;
  • joint pain when walking;
  • nasal bleeding.

Signs

The initial development of angioretinopathy may not be accompanied by characteristic symptoms, while discomfort is felt somewhat later when the patient notices a deterioration in visual acuity, the appearance of “cotton spots” or “flies” in front of the eyes. When an eye is examined by an ophthalmologist, an edema of the optical disk is fixed, the microcirculation of the blood deteriorating in the organ due to narrowing of the arterioles, their deformation, and changes in the lumen of the vessels. In more severe clinical cases, the blood stops passing through the capillaries and begins to accumulate in the form of extravasates.

Macroangiopathy begins with changes in the vessels of the distal parts of the retina and located around the macula. Over time, the disease progresses, signs of angiosclerosis begin to appear, the lumen of the vessels becomes crimped, crooked, has desolation in the arterioles. In addition, in a patient with angiopathy, the retina is damaged, as a result of which blurred and vision falls, hemorrhages occur in different parts of the eye.

  • deterioration in visual acuity;
  • complete loss of ability to see;
  • narrowing / expansion of blood vessels;
  • the occurrence of microaneurysms;
  • intense pain in joints, legs, which aggravates while walking;
  • the presence of blood in the urine;
  • rapid nosebleeds;
  • frequent vasculitis of an autoimmune nature.

Hypertensive diagnosis of retinal angiopathy

Now that you know what it is, hypertensive retinal vascular angiopathy may seem like a rather dangerous disease to you, and that’s good. This means that you will not close your eyes to him, but will act as soon as necessary. And when you go to the doctor, the first step is diagnosis.

To diagnose this disease, you need to contact an ophthalmologist who should examine the fundus. There is a place where the optic nerve enters the retina, this place in the normal state looks like a dark even spot. If you suffer from the described disease, and you have problems with the vessels in the eyes, then this spot will not be even.

Qualified diagnosis is crucial for adequate treatment of angioretinopathy. In this case, the examination methods are chosen by an ophthalmologist, cardiologist and neuropathologist for each patient individually, based on the results of the survey and the collected history. Hypertensive angiopathy can be detected using the following diagnostic methods:

  • ophthalmochromoscopy (the number of vessels in redless and red light is determined);
  • Ultrasound of blood vessels;
  • X-ray with contrast;
  • MRI.

Stages of diagnosis of angiopathy:

  1. When the first symptoms of the disease appear, you should definitely contact an ophthalmologist. He will collect a history of the disease and examine the fundus, make a diagnosis.
  2. Ophthalmodynamometry – allows you to measure pressure in the vessels of the retina (marked hypertension of the eye).
  3. Ultrasound examination of the eyes – determines the violation of the structure of the eyes.
  4. Rheophthalmography – shows the state of blood circulation in the eyes.
  5. Fluorescence angiography of retinal vessels – the state of the vessels of the eyes.
  6. Ophthalmochromoscopy – examines the fundus under red and white light.

Hypertensive retinal angiopathy is diagnosed by an ophthalmologist. They resort to the use of x-rays, magnetic resonance imaging, ultrasound.

As a rule, an examination of the condition of the fundus with an indispensable expansion of the pupils is carried out. To further clarify the diagnosis, it is possible to use a contrast study of blood vessels using fluorescence angiography, which clearly displays all the pathological processes.

Also prescribed by a doctor:

  • ultrasound dopplerography of the vessels of the eyes;
  • ophthalmodynamometry (measurement of blood pressure in the arteries and veins of the retina);
  • rheophthalmography (graphic registration of blood circulation in the eye).

These methods make it possible to identify violations in the vessels, which may be necessary when drawing up a plan for further therapy.

Classification

Hypertensive pathology is divided into several types, depending on the cause of its development. So, angioretinopathy is divided into the following types:

  1. Traumatic. The cause of the disease is compression of the chest, neck injuries, increased blood pressure. As a result of these factors, arteriovenous squeezing occurs, as a result of which intracranial pressure increases.
  2. Hypertensive. It arises as a result of high blood pressure, at which a narrowing and expansion of certain vessels of the fundus is noted. With a hypertonic form of pathology, local small hemorrhages in the organ of vision are observed. In addition, the branching of the venous bed and the macular star are inherent in the disease. Severe angiopathy is characterized by a change in retinal tissue.
  3. Diabetic. This pathology is a consequence of diabetes. It can manifest as macroangiopathy (large vessels of the organ suffer, which leads to tissue hypoxia) or microangiopathy. Angiopathy affects the capillaries, while the vessels become thinner, as a result of which the blood circulation is disturbed and hemorrhages occur.
  4. Hypotonic. With this type of angiopathy, arteries expand, in addition, pulsation of the veins is observed.

What drugs are prescribed?

Hypertensive type angiopathy is treated by an ophthalmologist, cardiologist and neuropathologist. Since the basis of the onset of the disease is arterial hypertension, then the treatment is concluded in lowering the pressure. In case of circulatory disturbance, vasodilators may be prescribed. For example, an ophthalmologist may prescribe such drugs as Mildronate, Trental, Solcoseral. Eye drops “Taufin”, “Emoksifin” and vitamins “Lutein Complex”, “Antotsiae Forte”, etc. can also be used.

If hypertensive angiopathy of the eyes caused increased fragility of blood vessels, then doctors prescribe calcium dobsilate, which optimizes blood microcirculation in the vessels, normalizes their permeability and reduces prothrombin.

In severe cases, the patient is shown hemodialysis, the purpose of which is to purify the blood.

Great benefit in the treatment of moderate physical exertion, a means of improving the state of the cardiovascular system.

In addition to drug treatment, laser therapy, magnetotherapy, and acupuncture are indicated.

There is also a special device – “Sidorenko glasses”, which are used to optimize vision at home. They provide a whole range of procedures: phonophoresis, pneumomassage, color therapy.

Compliance with diet

It is necessary to treat angioma in a complex manner, while drug therapy is mandatory. As a rule, such drugs are used to lower blood pressure:

  • β-blockers such as Lokren, Atenolol (beta-blockers reduce heart rate and distal vascular resistance);
  • drugs that block calcium channels and increase vascular lumen (Felodipine, Corinfar, etc.);
  • inhibitors of the angiotensin-stopping enzyme such as Spirapril, Kapoten, Prestarium (slow down the production of renin by the body, which provokes an increase in blood pressure);
  • diuretics that remove excess fluid from the body (clopamide, hydrochlorothiazide).

Neuroangiopathy, angiopathy of the vessels of the lower extremities and the retina suggests the use of antihypertensive drugs:

  • vitamin complexes that contain B vitamins, ascorbic and nicotinic acid (Aevit, Vitrum, Lutein, etc.);
  • vasodilator (Vasonitis, Trental);
  • drugs improving blood circulation (Actovegin, Pentoxifylline, Solcoseryl, Mildronate);
  • anticoagulant medicines that reduce blood viscosity (Dipyridamole, Cardiomagnyl, Aspirin, Clopidogrel, Aspecard);
  • drugs accelerating metabolic processes (cocarboxylase, ATP);
  • medicines that reduce the permeability of the vascular walls (Ginkgo, Prothrombin, Dobesilate, Parmidin).

For the treatment of retinal angiopathy, measures are taken to combat tissue hypoxia. while drugs are selected exclusively by a doctor. Eye drops with angiopathy of a hypertonic nature help to establish metabolic processes, provide additional nutrition for the organ of vision and activate blood microcirculation in the vessels. Such drugs belong to the group of drugs that fight the symptoms of hypertension-type angiopathy. These include:

    Emoxipin Synthetic antiox >

The action of the funds is aimed at improving the blood supply to the brain, with the additional effect of improving the energy metabolism of cells, which is important for the treatment of angiopathy. Preparations for the expansion of the vessels of the head and neck relax arteries and tone the veins. Anti-hypertensive neuroangiopathies are used to increase blood flow so that oxygen-rich blood flows more actively to the brain. Medicines for the treatment of hypertension are used to correct vascular disorders throughout the body.

Antihypertensive drugs include:

  • Verapamil, Finoptin, Isoptin;
  • Adalat, Cordipine, Corinfar, Phenigidin, Kordafen;
  • Diltiazem, Diazem;
  • Lomir, Isradipine;
  • Klentiazem;
  • Anipamil, Gallopamil;
  • Felodipine, Riopidine, Nimotop;
  • Cinnarizim;
  • Nimodipine

Nutrition for hypertensive angiopathy should be moderate: it is recommended to eat in small portions, while there should not be large time intervals between meals. Before going to bed, people with high blood pressure should not be eaten at all (dinner should end 2,5-3 hours before rest). Diet with angiopathy is aimed at normalizing the digestive, cardiovascular system and weight loss. Dietary diet for hypertension should not include:

  • baking, fresh white bread, pastries;
  • sweets;
  • alcohol;
  • red meat;
  • carbonated drinks;
  • canned foods;
  • prayers, marinades;
  • smoked meats, other sausages;
  • fatty fish;
  • spicy, fatty foods;
  • margarine, butter;
  • fried foods;
  • eggs;
  • sour cream, cream, fat milk, cottage cheese;
  • strong tea / coffee;
  • cocoa;
  • spicy seasonings;
  • beans;
  • honey;
  • garlic, radish, radish, turnips, spinach;
  • offal.

In the diet of a patient with hypertension-type angiopathy, it is worth including:

  • cereal / bran bread;
  • low-fat dairy products;
  • fresh, boiled, stewed vegetables;
  • fruits, berries;
  • lean soups;
  • low-fat varieties of meat, fish;
  • seafood;
  • greenery;
  • vegetable oils;
  • dried fruits;
  • fruit and berry mousse, jelly, not too sweet homemade jam;
  • caraway seeds, vanillin, cinnamon, other neutral spices.

How is hypertensive angiopathy stopped? Treatment involves complying with a diet that helps lower cholesterol in the patient’s blood.

Fluid intake should be limited. Products that include salt and cholesterol should be excluded from the diet. The use of vegetables, fruits, fish, dietary meat, vegetable oils and dairy products is recommended.

First of all, you need to pay attention to lifestyle. It is advised to include physical exercises (gymnastics in the mornings and periodic warm-ups) in the daily daily routine. Excellent results are obtained by cycling, walking and easy running.

You should monitor the state of the nervous system, do not overload it, withstand stress, do not overwork, monitor the duration of sleep, arrange work and rest.

Science has proved that people who lead a calm lifestyle and receive positive emotions are less likely to suffer from hypertension and angiopathy even in the presence of an unfavorable genetic factor. Therefore, the best prevention in addition to a healthy lifestyle is a favorable atmosphere in the family and at work.

ethnoscience

The use of folk remedies in the treatment of hypertensive angiopathy is not only desirable, but even necessary. Alternative medicine offers ways to effectively cleanse blood vessels, thin the blood, increase the elasticity of arteries and capillaries. What is arterial angiopathy treated with:

  1. Herbalism for hypertension from the roots of valerian and lemon balm leaves. Mix herbs in equal amounts (15 g each), add dry yarrow (50 g) to the mixture. A tablespoon of the collection should be insisted in a glass of cold water for 3 hours, then boil for 15 minutes in a water bath, cool and strain. Every day you need to drink a glass of angiopathy, crushing it into small portions. Continue the course for 3 weeks.
  2. Infusion from hypertensive angiopathy from St. John’s wort and chamomile. Mix the herbs equally, 1 tbsp. l pour half a liter of boiling water. After 20 minutes, drain the liquid and take it twice a day in a glass – sutra on an empty stomach, and after the evening (it is important not to eat after taking the remedy for hypertensive angiopathy).
  3. White mistletoe against hypertension type angiopathy. Pour 1 tsp. ground to a state of mistletoe flour 200 ml of boiling water. Insist the remedy all night, and then take 2 tbsp. l daily for a month.

Naturally, for each disease, the people have their own treatment methods. Sometimes they are quite effective, but you still should not use only them, and even more so you should not use traditional medicine without consulting a doctor. In the case of this disease, alternative methods can be very effective, since a variety of infusions can contribute to the rapid cleansing of blood vessels from the congestion that forms there and provokes the development of the disease.

For example, you can use a decoction of the fruits of mountain ash or blackcurrant, but you should not consume any of these decoctions without consulting your doctor. Again, traditional medicine should come first, and traditional medicine can be used as an additional tool that improves the overall effect.

In the treatment of a disease such as hypertensive angiopathy of the retina, folk methods have a high degree of effectiveness. First of all, the vessels are cleaned of cholesterol and salt. This effect can be achieved by applying a decoction of mountain ash, blackcurrant, dill seeds and parsley. Various herbs are also very effective.

  • Take 50 g of yarrow, lemon balm leaves and valerian roots (15 g each). Everything is carefully crushed and poured 1 tbsp. water. The mixture is infused for 3 hours in a cold place. Then for 15 minutes it boils in a water bath, cools and strains. A day should use a glass of infusion. The course of treatment is 3 weeks.
  • Used St. John’s wort and chamomile in equal quantities (100 g each). The mixture is poured with two glasses of boiling water, infused for 20 minutes and filtered. Half of the broth is drunk in the evening (eating and drinking after this is prohibited), and the second half in the morning on an empty stomach. The procedure should be repeated until the remedy runs out.
  • Infusion based on a white mistletoe. One tsp ground grass is poured 1 tbsp. hot boiled water and infused in a thermos overnight. Drink infusion twice a day for 2 tbsp. l within 3-4 months.

It should be noted that before using herbal preparations should consult with a specialist.

Prevention of disease

Preventive measures of such a disease are based on a change in lifestyle. Each patient needs to lead an active, healthy lifestyle – do exercises every morning, move a lot throughout the day, switch to proper nutrition, monitor your weight and get rid of bad habits. After the treatment, you need to follow a diet, avoid various stressful situations.

A very important point in prevention is the maintenance of visual hygiene: to ensure that the workplace is sufficiently lit, to take breaks while working at the computer and exercises for the eyes. If you experience discomfort in the eyes, pain, or other symptoms, you should urgently consult your doctor.

And finally, it’s worth talking about prevention. Yes, this disease is quite easily treated in the early stages, but it will be much better if it does not appear at all. And this can only be achieved with the right way of life. About the diet, it was said above, so in this paragraph it is worth noting the load on your eyes, because of which the vessels are also loaded and become vulnerable.

In the modern world, people spend most of their time at computers at work, then they sit on the phone in public transport, return home and find themselves in front of the TV. All this greatly strains your eyes, therefore it is recommended to reduce the amount of time spent behind the screen to an acceptable minimum, as well as to make special exercises for the eyes as often as possible. These preventative measures will protect you from angiopathy.

How to prevent the development of a disease such as hypertensive retinal angiopathy? Treatment is not required if some preventative measures are taken.

The main condition is the correct distribution of the load on the eyes throughout the day. When working at a computer or watching TV, it is recommended to take breaks of an hour and perform special exercises. When working with a PC, special glasses are used. This will help reduce eye strain and protect them from dryness and tension.

You should also monitor your blood pressure. In particular, people who have a genetic predisposition to this disease should be careful. The correct daily routine and periodic consultations with a cardiologist will help prevent the development of hypertension.

Prognosis of the disease

The prognosis of angiopathy caused by hypertension is largely dependent on the time of treatment and stabilization of blood pressure.

Against the background of prolonged hypertension without proper treatment, serious complications can subsequently arise, leading not only to a deterioration in the ability to see, but also to blindness.

If therapy is started on time, vascular changes can be stopped and completely regenerated after pressure stabilization.

Hypertensive angiopathy requires immediate treatment. Moreover, constant jumps in blood pressure are a reason for seeking help not only from a cardiologist, but also to an ophthalmologist who will prescribe the necessary examinations and give an assessment of the state of the vascular system.

Conclusion

Hypertensive retinal angiopathy is a serious disease that can cause complications. With untimely treatment, an ailment can even lead to complete loss of vision.

The main reason for the development of the disease is an increase in blood pressure. To achieve the maximum effectiveness of therapy, you should contact a specialist in a timely manner. With an advanced condition, the disease becomes chronic.

In the treatment, drugs are used that help improve the microcirculation of the blood in the retina. Tablets, drops, and ointments may be used.

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Svetlana Borszavich

General practitioner, cardiologist, with active work in therapy, gastroenterology, cardiology, rheumatology, immunology with allergology.
Fluent in general clinical methods for the diagnosis and treatment of heart disease, as well as electrocardiography, echocardiography, monitoring of cholera on an ECG and daily monitoring of blood pressure.
The treatment complex developed by the author significantly helps with cerebrovascular injuries and metabolic disorders in the brain and vascular diseases: hypertension and complications caused by diabetes.
The author is a member of the European Society of Therapists, a regular participant in scientific conferences and congresses in the field of cardiology and general medicine. She has repeatedly participated in a research program at a private university in Japan in the field of reconstructive medicine.

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