Detection of Arteriolar Narrowing in Fundoscopic Examination: Evidence of a Low Performance of Direct Ophthalmoscopy in Comparison With a Microdensitometric Method

American Journal of Hypertension

Volumn 20, Issue 5, 2007, Pages 501-505

  Maestri, Marcelo M ^a,b   Fuchs, Sandra C ^a   Ferlin, Elton ^b   Pakter, Helena M ^a   Nunes, Gerson ^b   Moraes, Ruy S ^b   Gus, Miguel ^a,b   Moreira, Leila B ^a,b   Fuchs, Flávio D ^a,b  

^a HOSPITAL DE CLÍNICAS DE PORTO ALEGRE   (Brazil)

^b FEDERAL UNIVERSITY OF RIO GRANDE DO SUL   (Brazil)

Author keywords

arterial hypertension; Arteriolar narrowing; microdensitometric method; predictive value; sensitivity

Indexed keywords

ADULT; ARTERIOSCLEROSIS; ARTERY DIAMETER; ARTICLE; BLOOD VESSEL WALL; FEMALE; HUMAN; HYPERTENSION; INTERMETHOD COMPARISON; MAJOR CLINICAL STUDY; MALE; MEDICAL SPECIALIST; METHODOLOGY; MICROANGIOPATHY; MICRODENSITOMETRY; OPHTHALMOSCOPE; OPHTHALMOSCOPY; PHYSICIAN; PREDICTOR VARIABLE; PRIORITY JOURNAL; RETINOGRAPHY; SENSITIVITY AND SPECIFICITY; STATISTICAL ANALYSIS;

ADULT; CAPILLARIES; CARDIOVASCULAR DISEASES; FEMALE; FUNDUS OCULI; HUMANS; HYPERTENSION; MALE; MIDDLE AGED; OPHTHALMOSCOPY; PHOTOGRAPHY; RETINAL VESSELS; SENSITIVITY AND SPECIFICITY;

EID: 34247563346     PISSN: 08957061     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.amjhyper.2006.10.012     Document Type: Article

References (32)

1. Wong T.Y., Klein R., Sharrett A.R., Duncan B.B., Couper D.J., Klein B.E., Hubbard L.D., and Nieto F.J. Atherosclerosis Risk in Communities Study. Retinal arteriolar diameter and risk for hypertension. Ann Intern Med 140 (2004) 248-255
2. Wong T.Y., Shankar A., Klein R., Klein B.E., and Hubbard L.D. Prospective cohort study of retinal vessel diameters and risk of hypertension. BMJ 329 (2004) 79
3. Smith W., Wang J.J., Wong T.Y., Rochtchina E., Klein R., Leeder S.R., and Mitchell P. Retinal arteriolar narrowing is associated with 5-year incident severe hypertension: the Blue Mountains Eye Study. Hypertens 44 (2004) 442-447
4. Wong T.Y., Rosamond W., Chang P.P., Couper D.J., Sharrett A.R., Hubbard L.D., Folsom A.R., and Klein R. Retinopathy and risk of congestive heart failure. JAMA 293 (2005) 63-69
5. Duncan B.B., Wong T.Y., Tyroler H.A., Davis C.E., and Fuchs F.D. Hypertensive retinopathy and incident coronary heart disease in high risk men. Br J Ophthalmol 86 (2002) 1002-1006
6. Wong T.Y., Klein R., Sharrett A.R., Duncan B.B., Couper D.J., Tielsch J.M., Klein B.E., and Hubbard L.D. Retinal arteriolar narrowing and risk of coronary heart disease in men and women. The Atherosclerosis Risk in Communities Study. JAMA 287 (2002) 1153-1159
7. Wong T.Y., Klein R., Couper D.J., Shahar E., Hubbard L.D., and Wofford M.R. Retinal microvascular abnormalities and incident strokes. The Atherosclerosis Risk in Communities Study. Lancet 358 (2001) 1134-1140
8. Wong T.Y., Klein R., Nieto F.J., Klein B.E., Sharrett A.R., Meuer S.M., Hubbard L.D., and Tielsch J.M. Retinal microvascular abnormalities and 10-year cardiovascular mortality: a population-based case-control study. Ophthalmology 110 (2003) 933-940
9. Wong T.Y., Hubbard L.D., Klein R., Moss S.E., Folsom A.R., Wong T.Y., Brancati F.L., Hubbard L.D., Couper D., and ARIC Group. Retinal microvascular abnormalities and blood pressure in older people: the Cardiovascular Health Study. Br J Ophthalmol 86 (2002) 1007-1013
10. Wong T.Y., Knudtson M.D., Klein R., Klein B.E., and Hubbard L.D. A prospective cohort study of retinal arteriolar narrowing and mortality. Am J Epidemiol 159 (2004) 819-825
11. Witt N., Wong T.Y., Hughes A.D., Chaturvedi N., Klein B.E., Evans R., McNamara M., Thom S.A., and Klein R. Abnormalities of retinal microvascular structure and risk of mortality from ischemic heart disease and stroke. Hypertension 47 (2006) 975-981
12. Dimmitt S.B., West J.N., Eames S.M., Gibson J.M., Gosling P., and Littler W.A. Usefulness of ophthalmoscopy in mild to moderate hypertension. Lancet 1 (1989) 1103-1106
13. Hubbard L.D., Brothers R.J., King W.N., Clegg L.X., Klein R., Cooper L.S., Sharrett A.R., Davis M.D., and Cai J. Methods for evaluation of retinal microvascular abnormalities associated with hypertension/sclerosis in the Atherosclerosis Risk in Communities Study. Ophthalmology 106 (1999) 2269-2280
14. Wong T.Y. Fred Hollows Lecture: Hypertensive retinopathy-a journey from fundoscopy to digital imaging. Clin Experiment Ophthalmol 34 (2006) 397-400
15. Pakter H.M., Fuchs S.C., Maestri M., and Fuchs F.D. Detection of hypertension retinopathy findings: a study of agreement between ophthalmologist and cardiologist. Inves Ophthalmol Vis Sci 42 (2001) S699
16. Couper D.J., Klein R., Hubbard L.D., Wong T.Y., Sorlie P.D., Cooper L.S., Brothers R.J., and Nieto F.J. Reliability of retinal photography in the assessment of retinal microvascular characteristics: the Atherosclerosis Risk in Communities Study. Am J Ophthalmol 133 (2002) 78-88
17. Sherry L.M., Wang J.J., Rochtchina E., Wong T., Klein R., Hubbard L., and Mitchell P. Reliability of computer-assisted retinal vessel measurement in a population. Clin Experiment Ophthalmol 30 (2002) 179-182
18. George G.S., Wolbarsht M.L., and Landers III M.B. Reproducible estimation of retinal vessel width by computerized microdensitometry. Int Ophthalmol 14 (1990) 89-95
19. Newsom R.S., Sullivan P.M., Rassam S.M., Jagoe R., and Kohner E.M. Retinal vessel measurement: comparison between observer and computer driven methods. Graefes Arch Clin Exp Ophthalmol 230 (1992) 221-225
20. Rassam S.M., Patel V., Brinchmann-Hansen O., Engvold O., and Kohner E.M. Accurate vessel width measurement from fundus photographs: new concept. Br J Ophthalmol 78 (1994) 24-29
21. Stanton A.V., Wasan B., Cerutti A., Ford S., Marsh R., Sever P.P., Thom S.A., and Hughes A.D. Vascular network changes in the retina with age and hypertension. J Hypertens 13 (1995) 1724-1728
22. Leung H., Wang J.J., Rochtchina E., Tan A.G., Wong T.Y., Hubbard L.D., Klein R., and Mitchell P. Computer-assisted retinal vessel measurement in an older population: correlation between right and left eyes. Clin Experiment Ophthalmol 31 (2003) 326-330
23. Pakter H.M., Ferlin E., Fuchs S.C., Maestri M.K., Moraes R.S., Nunes G., Moreira L.B., Gus M., and Fuchs F.D. Measuring arteriolar-to-venous ratio in retinal photography of patients with hypertension: development and application of a new semi-automated method. Am J Hypertens 18 (2005) 417-421
24. Wong T.Y. Retinal arteriolar narrowing and hypertension. Am J Hypertens 18 (2005) 297-298
25. Gus M., Fuchs F.D., Pimentel M., Rosa D., Melo A.G., and Moreira L.B. The behavior of ABPM surrounding episodes of headache in mildly hypertensive patients. Arch Intern Med 161 (2001) 252-255
26. Fuchs F.D., Gus M., Moreira W.D., Moreira L.B., Moraes R.S., Rosito G.A., Sorucco A., Atanazio P., and Machado R. Blood pressure effects of antihypertensive drugs and lifestyle modification in a Brazilian hypertensive cohort. J Hypertens 15 (1997) 783-792
27. Becker R.A. Hypertension and arteriolosclerosis. In: Duane T.D., and Jaeger E.A. (Eds). Clinical Ophthalmology (1987), Harper & Row Publishers, Philadelphia 1-21
28. Palmberg P., Smith M., Waltman S., Krupin T., Singer P., Burgess D., Wendtlant T., Achtenberg J., Cryer P., Santiago J., White N., Kilo C., and Daughaday W. The natural history of retinopathy in insulin-dependent juvenile-onset diabetes. Ophthalmology 88 (1981) 613-618
29. Chobanian A.V., Bakris G.L., Black H.R., Cushman W.C., Green L.A., Izzo Jr. J.L., Jones D.W., Materson B.J., Oparil S., Wright Jr. J.T., Roccella E.J., National Heart, Lung, and Blood Institute; Joint National Committee on Prevention, Detection, Evaluation, and and Treatment of High Blood Pressure; National High Blood Pressure Education Program Coordinating Committee. The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure: the JNC 7 report. JAMA 289 (2003) 2560-2572
30. Williams B., Poulter N.R., Brown M.J., Davis M., McInnes G.T., Potter J.F., Sever P.S., McG Thom S., and British Hypertension Society. Guidelines for management of hypertension: report of the fourth working party of the British Hypertension Society, 2004-BHS IV. J Hum Hypertens 18 (2004) 139-185
31. Wong T.Y., and Mitchell P. Hypertensive retinopathy. N Engl J Med 351 (2004) 2310-2317
32. Ikram M.K., Witteman J.C., Vingerling J.R., Breteler M.M., Hofman A., and de Jong P.T. Retinal vessel diameters and risk of hypertension: the Rotterdam Study. Hypertension 47 (2006) 189-194