مخطط ترسيمي لأهم التبدلات المرضية التي تطرأ على الشبكية في سياق ارتفاع التوتر الشرياني
Okay , about the soft exudate in stage III HTN retinpathy ( cotton wools spots ) , i would lyk to add sth i find impo :
sometimes retinitis due to HSV ( herpes simplex virus ) in HIV pt for ex can cause cotton wool spots which can be hard to differentiate from cotton wools spots caused by arteria occlusion a in HTN or DM
However , cotton wool spots doNOT enlarge over time whereas retinits do
why are we afraid from these cotton wool spots ?
these = that now this HTN ( hypertensive ) pt is having an area deprived from blood ( nerve damage due to ischemia )
, now the retina will start forming new blood vessels ( neovascularization ) to compensate
the problem in these new blood veseels that they are easy to bleed fragile , and thin , this will lead to retinal hemorrhage
fundus shows multiple large supericial cotton wool spots surrounding a normal looking optic nerve. A small intraretinal hemorrhage was also seen in the left eye
شكراً جزيلاً معلومة جميلة جداً ..
It's great, so guys, is that disorder reversible or not? and how can I treat it ?
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