Hypertensive Retinopathy Classification | Medical Algorithm | Medicalalgorithms.com

Description

The classification of hypertensive retinopathy developed by Scheie grades atherosclerotic and hypertensive changes separately.

Hypertension	Grade
no changes	0
barely detectable arteriolar narrowing	1
obvious arteriolar narrowing with focal irregularities	2
retinal hemorrhage and/or exudates + Grade 2 changes	3
papilledema + Grade 3	4

Arteriolar Sclerosis	Grade
normal	0
barely detectable light reflex changes	1
obvious increased light reflex changes	2
copper-wire arterioles	3
silver-wire arterioles	4

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