High Blood Pressure In The Eye

Chronically elevated blood pressure can cause changes in the eye called Hypertensive Retinopathy (HR) that can result in permanent vision loss. In early changes, the arteries begin to have a different appearance and begin to compress the veins in the eye, impairing blood outflow. In later stages, there is bleeding in the eye and parts of the retina begin to die and appear as fluffy white spots. Chronically elevated blood pressure can put you at risk for a stroke in the eye, also called a Retinal Vein Occlusion (RVO). In the case of an RVO, quick intervention will be required in order to insure best visual outcome.

Malignant Hypertension

In cases of malignant hypertension, the blood pressure exceeds 180/120 and may result in visible swelling of the optic nerve that your eye doctor can see during an eye exam. During this crisis, the patient may have a headache, feel dizzy, experience confusion, numbness, and other symptoms. These signs and symptoms warrant a visit to the emergency room.

     

On the left, a normal retina. On the right, advanced Hypertensive Retinopathy*
*Photos courtesy of Dr. David Callanan of Texas Retina Associates via Retinal Image Bank.

A Little Bit About…

A Little Bit About…

Ashley Iketani-Castillo, OD, MS

Dr. Iketani is a Florida native who has a passion for managing ocular disease. She views each patient as a whole person and believes the eyes are a window to a patient’s systemic health. She also has a passion for fitting rigid lenses on patients with corneal disease to help them obtain their best vision.

Dr. Iketani graduated from the University of Alabama at Birmingham School of Optometry where she completed internships at the Hefner Veteren’s Affairs hospital in Charlotte, NC and The Metrolina Association for the Blind which focused on Low Vision rehabilitation. Prior to pursuing optometry, she obtained a Masters of Science which focused on developmental genetics and worked as a technician in a lab that researched breast cancer.

Dr. Iketani currently resides in Charlotte with her husband, a pediatric resident, their two cats and they are welcoming a baby boy in December 2018.

Disclaimer

Information contained within this Web site is intended solely for educational purposes and is neither intended nor implied to be a substitute for professional medical advice relative to your specific medical condition or question. Always seek the advice of your physician or other health care provider for any questions you may have regarding your medical condition. Only your physician can provide specific diagnoses and therapies. By using this Web site, you agree to this Medical Disclaimer.

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205 E Council Street, Suite B
Salisbury, North Carolina 28144

Phone: (704) 310-5002
Fax: (704) 310-5003
kristin@salisburyeyecareandeyewear.com

 

205 E Council Street, Suite B
Salisbury, North Carolina 28144

Phone: (704) 310-5002
Fax: (704) 310-5003
kristin@salisburyeyecareandeyewear.com

 

Hours:
Monday: 8:30 AM – 5:00 PM
Tuesday: 10:00 AM – 7:00 PM
Wednesday: 8:30 AM – 5:00 PM
Thursday: 8:30 AM – 5:00 PM
Friday: 9:00 AM – 1:00 PM

Hours:
Monday: 8:30 AM – 5:00 PM
Tuesday: 10:00 AM – 7:00 PM
Wednesday: 8:30 AM – 5:00 PM
Thursday: 8:30 AM – 5:00 PM
Friday: 9:00 AM – 1:00 PM

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