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HERMAN ELWYN, M.D.

Arch Ophthal. 1944;31(5):376-383.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

The following changes in the fundus of the eye may be observed in many cases of hypertension : (1) edema of the retina and the optic disk ; (2) cotton wool patches ; (3) hemorrhages ; (4) sharply defined white spots in the deeper layers of the retina; (5) glistening white spots and a star-shaped figure in the macular area, and (6) changes in the retinal vessels.

The pathologic basis of these changes may be described as follows : (1) for the edema, transudation of fluid from the capillaries into the substance of the retina; (2) for the cotton wool patches, accumulations of precipitated fibrin and serum; (3) for the hemorrhages, the presence of blood in the various layers of the retina, especially in the inner layers ; (4) for the sharply defined white spots, deposits of hyalin, mixed with lipids and with lipid-containing fat granule cells in the deeper layers of the retina, and for . . . [Full Text PDF of this Article]

Author Affiliations
NEW YORK

Footnotes
This paper was read at a meeting of the New York Academy of Medicine, Section of Ophthalmology, Nov. 15, 1943.

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