Volume : 6, Issue : 7, July - 2017

Fundoscopic Profile in patients presenting with Acute Haemorrhagic Stroke in a Tertiary Care Hospital

Zahna Riaz, Khizar Ahmed, Saurabh Srivastava

Abstract :

<p>&nbsp;<b><span lang="EN-IN" style="font-size:12.0pt;mso-bidi-font-size:11.0pt;&#10;line-height:200%;font-family:&quot;Arial&quot;,sans-serif">Objective:</span></b><span lang="EN-IN" style="font-size: 12pt; line-height: 200%; font-family: Arial, sans-serif;"> </span><span lang="EN-IN" style="font-size: 12pt; line-height: 200%; font-family: Arial, sans-serif;">Hypertension causes microvascular damage in both the cereal and retinal</span><span lang="EN-IN" style="font-size: 10pt; line-height: 200%; font-family: &quot;Times New Roman&quot;, serif;"> &nbsp;</span><span lang="EN-IN" style="font-size: 12pt; line-height: 200%; font-family: Arial, sans-serif;">circulation. </span><span lang="EN-IN" style="font-size: 12pt; line-height: 200%; font-family: Arial, sans-serif;">The retinal vessel pathology serves as an important marker for &nbsp;stratification of patients risk for having or developing cereovascular disease. The objective of this study was to ascertain </span><span style="font-size: 12pt; line-height: 200%; font-family: Arial, sans-serif;">the fundoscopic changes in patients presenting with acute haemorrhagic stroke also</span><span lang="EN-IN" style="font-size: 12pt; line-height: 200%; font-family: Arial, sans-serif;"> fundus examination may potentially provide additional information on long term stroke risk stratification.</span></p> <p class="MsoNormal" style="line-height:200%"><b><span lang="EN-IN" style="font-size:12.0pt;mso-bidi-font-size:11.0pt;&#10;line-height:200%;font-family:&quot;Arial&quot;,sans-serif;mso-bidi-font-family:&quot;Times New Roman&quot;;&#10;mso-bidi-theme-font:minor-bidi">Methods:</span></b><span lang="EN-IN" style="font-size:12.0pt;mso-bidi-font-size:11.0pt;line-height:200%;font-family:&#10;&quot;Arial&quot;,sans-serif;mso-bidi-font-family:&quot;Times New Roman&quot;;mso-bidi-theme-font:&#10;minor-bidi"> In this prospective </span><span style="font-size:12.0pt;&#10;mso-bidi-font-size:11.0pt;line-height:200%;font-family:&quot;Arial&quot;,sans-serif;&#10;mso-bidi-font-family:&quot;Times New Roman&quot;;mso-bidi-theme-font:minor-bidi;&#10;mso-ansi-language:EN-US">study 50 patients above 18 years of age with CT scan diagnosed Intracranial Haemorrhage attending MGM Hospital Emergency Department for treatment from January 2016 to September 2016 were included.<o:p></o:p></span></p> <p class="MsoNormal" style="line-height:200%"><b><span style="font-size:12.0pt;mso-bidi-font-size:11.0pt;line-height:&#10;200%;font-family:&quot;Arial&quot;,sans-serif;mso-bidi-font-family:&quot;Times New Roman&quot;;&#10;mso-bidi-theme-font:minor-bidi;mso-ansi-language:EN-US">Results:</span></b><span style="font-size:12.0pt;mso-bidi-font-size:11.0pt;line-height:200%;font-family:&#10;&quot;Arial&quot;,sans-serif;mso-bidi-font-family:&quot;Times New Roman&quot;;mso-bidi-theme-font:&#10;minor-bidi;mso-ansi-language:EN-US"> </span><span lang="EN-IN" style="font-size:&#10;12.0pt;mso-bidi-font-size:11.0pt;line-height:200%;font-family:&quot;Arial&quot;,sans-serif;&#10;mso-bidi-font-family:&quot;Times New Roman&quot;;mso-bidi-theme-font:minor-bidi">Mean age was 52.34 &plusmn; 5.49 years, and most of them were males . The main risk factor was hypertension, with 21.05% complying with therapy. </span><span style="font-size:12.0pt;mso-bidi-font-size:11.0pt;line-height:200%;font-family:&#10;&quot;Arial&quot;,sans-serif;mso-bidi-font-family:&quot;Times New Roman&quot;;mso-bidi-theme-font:&#10;minor-bidi;mso-ansi-language:EN-US">Other risk factors were alcohol consumption, smoking etc.</span><span style="font-size:12.0pt;line-height:200%;&#10;font-family:&quot;Times New Roman&quot;,serif;mso-ansi-language:EN-US"> </span><span style="font-size:12.0pt;mso-bidi-font-size:11.0pt;line-height:200%;font-family:&#10;&quot;Arial&quot;,sans-serif;mso-bidi-font-family:&quot;Times New Roman&quot;;mso-bidi-theme-font:&#10;minor-bidi;mso-ansi-language:EN-US">The</span><span lang="EN-IN" style="font-size:12.0pt;mso-bidi-font-size:11.0pt;line-height:200%;font-family:&#10;&quot;Arial&quot;,sans-serif;mso-bidi-font-family:&quot;Times New Roman&quot;;mso-bidi-theme-font:&#10;minor-bidi"> majority of patients belonged to 5^th and 6^th decades. </span><span lang="EN-IN" style="font-size:12.0pt;line-height:200%;&#10;font-family:&quot;Arial&quot;,sans-serif;mso-fareast-font-family:BookAntiqua">Retinal abnormalities were found to be present in 60% of the patients with Haemorrhagic stroke. </span><span lang="EN-IN" style="font-size:12.0pt;mso-bidi-font-size:&#10;11.0pt;line-height:200%;font-family:&quot;Arial&quot;,sans-serif;mso-bidi-font-family:&#10;&quot;Times New Roman&quot;;mso-bidi-theme-font:minor-bidi">Dilated Fundoscopy of patients having CT Scan diagnosed Hemorrhagic stroke showing</span><span lang="EN-IN" style="font-size:12.0pt;mso-bidi-font-size:11.0pt;line-height:200%;&#10;font-family:&quot;Arial&quot;,sans-serif;mso-bidi-font-family:&quot;Times New Roman&quot;;&#10;mso-bidi-theme-font:minor-bidi;mso-ansi-language:EN-US"> </span><span style="font-size:12.0pt;mso-bidi-font-size:11.0pt;line-height:200%;font-family:&#10;&quot;Arial&quot;,sans-serif;mso-bidi-font-family:&quot;Times New Roman&quot;;mso-bidi-theme-font:&#10;minor-bidi;mso-ansi-language:EN-US">Grade 3 and Grade 4 retinopathy had poor prognosis.</span><span lang="EN-IN" style="font-size:12.0pt;mso-bidi-font-size:&#10;11.0pt;line-height:200%;font-family:&quot;Arial&quot;,sans-serif;mso-bidi-font-family:&#10;&quot;Times New Roman&quot;;mso-bidi-theme-font:minor-bidi"><o:p></o:p></span></p>