35 / 46
Pain Management 2019 & Internal Medicine 2019
International Journal of Anesthesiology & Pain Medicine
ISSN: 2471-982X
Page 73
JOINT EVENT
7
th
Edition of International Conference on
Pain Management
8
th
Edition of International Conference on
Internal Medicine &
Patient Care
&
March 25-26, 2019
Rome, Italy
Int J Anesth Pain Med 2019, Volume 5
DOI: 10.21767/2471-982X-C1-006
Stage of hypertensive retinopathy among patients who
undergone cataract surgery in Zamboanga city medical
center
Jerne Kaz Niels B Paber
Zamboanga City Medical Center, Philippines
Background:
Individuals who are not known
hypertensive are noted to have blurring of vision as an
initial presentation. Preventable co- morbidity such as
hypertension is essential in saving sight in patients with
cataract.
Objective:
To determine the prevalence of hypertension
and stage of hypertensive retinopathy among individuals
who undergone cataract surgery and to identify the
association between the stage of hypertension and
the risk factors for hypertension and the stage of
hypertensive retinopathy.
Methods:
Thisprospectivestudyincluded203individuals.
All of the participants were noted to havemature cataract
surgery done and was noted to have followed up at Tzu
Chi Eye center from July 1 2017 to March 30, 2018. The
nature, significance and procedure of the study were
explained to every identified respondent. There was
only one ophthalmologist who saw the participants who
enrolled in the study. Once they understood the study, a
written informed consent was taken. They were asked to
answer questions provided by the researcher and their
laboratoryresultswererecorded.Afollowupafter2weeks
was done in order to determine the stage of retinopathy
of the patients. Demographic variables, hypertensive
retinopathy, history of hypertension, medication usage,
compliance, ECG changes, proteinuria, creatinine, and
cardiomegaly on chest x-ray, radiographic identification
of Atheromatous aorta and fundoscopic examination
were analyzed. The Wong and Mitchell classification and
the Keith, Wagner and Barker staging system were used
for retinopathy grading.
Results:
A total of 203 patients (117 men, 86 women)
with mature cataract were enrolled in this study, mean
age was 64.33 +/- 9.7 years. Upon inclusion, 92% are
noted with hypertension and 7 out of 10 were noted to
have severe hypertension. One out of four patients was
newly diagnosed with hypertension. Among previous
hypertensives, Twenty one percent were not compliant
to treatment. The Grade of hypertensive retinopathy
correlatedwith duration of illness but did not with severity
of hypertension.
Conclusion:
The American Heart Association stage of
hypertension and the stage of hypertensive retinopathy
byKeith,Wagner andBarker hasbeenshown tobedirectly
associated with each other. The Grade of Hypertensive
Retinopathy reflects duration and not the severity of
hypertension.
Recommendation:
Although cataract operations are
low risk, the current practice of referring these patients
for medical evaluation prior to surgery is an excellent
opportunity to diagnose new hypertensives and identify
noncompliant cases. Initiating appropriate treatment
may prevent complications among these elderly patients.
jernepaber@gmail.com