THE RELATIONSHIP BETWEEN SYSTEMIC ARTERIAL HYPERTENSION AND THE RETINAL VASCULAR SYSTEM

Authors

  • Ana Clara Moreira Gonçalves Instituto Master de Ensino Presidente Antônio Carlos https://orcid.org/0000-0001-8104-8409
  • Micaella Brito de Oliveira Corrêa da Costa
  • Anna Júlia Oliveira Porto
  • Anna Clara Oliveira Porto
  • Isabela Aparecida Alves
  • Danilo Pereira da Costa

DOI:

https://doi.org/10.47224/revistamaster.v10i20.643

Keywords:

HYPERTENSION, VASCULAR DISEASES, RETINAL ARTERY OCCLUSION, DIAGNOSIS

Abstract

This study addresses hypertension (HTN), a chronic disease highly prevalent and associated with various complications, including the impairment of the retinal vascular system. The aim is to investigate ocular changes related to HTN, with an emphasis on the importance of early diagnosis and preventive strategies to reduce the risk of irreversible visual damage. This is a literature review based on articles published between 2020 and 2025, extracted from the PubMed/Medline and Virtual Health Library (BVS) databases, which analyzed the relationship between HTN and retinal complications. The findings indicate that, among the risk factors for retinal vascular occlusions, such as diabetes and dyslipidemia, HTN stands out as the primary one, with increasing risk according to the stage of hypertension, even in its early phases. Diagnosis is performed through exams such as fundoscopy, however, detection often occurs late, compromising the effectiveness of treatments, which should be initiated within the first hours after occlusion. Thus, the study highlights the need for primary preventive measures, such as promoting healthy lifestyle habits, and secondary measures, such as treatment adherence and multidisciplinary care involving cardiology and ophthalmology, for the effective management of systemic arterial hypertension and its ocular outcomes. Future studies are essential to promote the implementation of protocols that favor early recognition and improve the clinical management of these ophthalmologic emergencies.

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References

BARROSO, Weimar Kunz Sebba et al. Diretrizes Brasileiras de Hipertensão Arterial – 2020. Arquivos Brasileiros de Cardiologia, v. 116, n. 3, p. 516-658, 2021. Disponível em: https://doi.org/10.36660/abc.20201238. DOI: https://doi.org/10.36660/abc.20201238

DAXER, Barbara; RADNER, Wolfgang; FISCHER, Florian; COCOS, ILĂ, Andreea-Liliana; ETTL, Armin. Aetiology, diagnosis and treatment of arterial occlusions of the retina—A narrative review. Medicina, Basel, v. 60, n. 4, p. 526, 2024. Disponível em: https://doi.org/10.3390/medicina60040526. DOI: https://doi.org/10.3390/medicina60040526

HASHIMOTO, Yohei et al. Association between retinal vein occlusion and early-stage hypertension: a propensity score analysis using a large claims database. Eye, v. 37, n. 8, p. 1741-1747, 2023. DOI: https://doi.org/10.1038/s41433-022-02241-w

HUMERI, Muhammad Indra Mahardika Iridika et al. Visual acuity improvement after treatment of central retinal artery occlusion: a case report. The Pan African Medical Journal, v. 49, p. 18, 2024. DOI: https://doi.org/10.11604/pamj.2024.49.18.44717

KIM, Hae Rang et al. Retinal vascular occlusion risks in high blood pressure and the benefits of blood pressure control. American Journal of Ophthalmology, v. 250, p. 111-119, 2023. DOI: https://doi.org/10.1016/j.ajo.2023.01.023

MAC GRORY, Brian et al. Management of central retinal artery occlusion: a scientific statement from the American Heart Association. Stroke, v. 52, n. 6, p. e282-e294, 2021. DOI: https://doi.org/10.1161/STR.0000000000000366

MAHMOUD, Hatem et al. Retinal diseases diagnosis based on optical coherence tomography angiography. In: Diabetes and Fundus OCT. Elsevier, 2020. p. 159-190. DOI: https://doi.org/10.1016/B978-0-12-817440-1.00006-1

MINISTÉRIO DA SAÚDE. Relatório aponta que número de adultos com hipertensão aumentou 3,7% em 15 anos no Brasil. Brasília: Ministério da Saúde, 17 maio 2022. Disponível em:https://www.gov.br/saude/pt-br/assuntos/noticias/2022/maio/relatorio-aponta-que-numero-de-adultos-com-hipertensao-aumentou-3-7-em-15-anos-no-brasil. Acesso em: 2 maio 2025.

PUTZ, Carla. Oftalmologia: ciências básicas. 3. ed. Rio de Janeiro: GEN Guanabara Koogan, 2017. 592 p. ISBN 9788535286915.

WHELTON, P. K. et al. 2017 ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/PCNA guideline for the prevention, detection, evaluation, and management of high blood pressure in adults: a report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines. Journal of the American College of Cardiology, [S.l.], v. 71, p. e127–e248, 2018. DOI: https://doi.org/10.1161/HYP.0000000000000076

Published

2025-12-19

How to Cite

MOREIRA GONÇALVES, Ana Clara; BRITO DE OLIVEIRA CORRÊA DA COSTA, Micaella; OLIVEIRA PORTO, Anna Júlia; OLIVEIRA PORTO, Anna Clara; APARECIDA ALVES, Isabela; PEREIRA DA COSTA, Danilo. THE RELATIONSHIP BETWEEN SYSTEMIC ARTERIAL HYPERTENSION AND THE RETINAL VASCULAR SYSTEM. Revista Master - Ensino, Pesquisa e Extensão, [S. l.], v. 10, n. 20, 2025. DOI: 10.47224/revistamaster.v10i20.643. Disponível em: https://revistamaster.emnuvens.com.br/RM/article/view/643. Acesso em: 22 mar. 2026.

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