Healthy Living: Blood Pressure & Eyes
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Healthy Living: Blood Pressure & Eyes

August 30, 2019


HEALTHY LIVING IN THE FOUR CORNERS IN BROUGHT
TO YOU BY SOUTHWEST RETINA CONSULTANTS. YOU’RE WATCHING HEALTHY LIVING IN THE FOUR
CORNERS. I’M DEBORAH URODA. PHILOSOPHERS THROUGHOUT TIME HAVE SAID IN
ONE WAY OR ANOTHER THAT OUR EYES ARE THE WINDOWS TO OUR INNERMOST SELVES. WHAT THEY DIDN’T KNOW IS THAT OUR EYES ALSO
ARE A WINDOW INTO OUR HEALTH. THEY ARE THE ONE ORGAN WHERE MEDICAL PROFESSIONALS
CAN LOOK INSIDE THE BODY TO EXAM THE BLOOD VESSELS AND NERVES THAT MAKE US TICK. DURANGO OPHTHALMOLOGIST MOSS FENBERG WITH
SOUTHWEST RETINA CONSULTANTS SAYS OUR EYES ALSO ARE ONE OF THE FIRST ORGANS TO EXPERIENCE
THE EFFECTS OF HIGH BLOOD PRESSURE, THE SILENT KILLER THAT, IF UNDETECTED, CAN LEAD TO HEART
ATTACKS, STROKE, AND EVENTUALLY, DEATH. ONE OF THE GREATEST CONCERNS OUTSIDE OF EYES
IS THE RISK FOR STROKE AND HEART ATTACK WITH HIGH BLOOD PRESSURE. SO IF YOU CAN CATCH THESE SYMPTOMS EARLY WHEN
YOU ARE SEEING IT IN THE SMALLER VESSELS, IN A PLACE THAT YOU CAN LOOK INTO THE BODY
IN A WAY THAT YOU CAN’T LOOK INTO YOUR THE CEREBRAL VASCULAR OR THE CARDIAC VASCULATURE
WITHOUT A WITHOUT AN ANGIOGRAPHIC STUDY, AND YOU CAN SAY LISTEN I DON’T I’M NOT SURE THAT
YOUR BLOOD PRESSURE IS AS UNDER AS GOOD OF CONTROL AS YOU THINK IT IS OR YOU CAN COMMUNICATE
WITH A FAMILY PHYSICIAN AND SAY THERE’S SIGNIFICANT CHANGES IN THE EYE. THEY ARE AT RISK FOR MORE AND MORE SIGNIFICANT
SYSTEMIC PROBLEMS ONE OF THE FIRST SIGNS THAT YOU MAY HAVE HIGH
BLOOD PRESSURE ARE SWOLLEN ARTERIES, THE TRANSPORTATION SYSTEM THAT PUMPS BLOOD INTO YOUR EYE. THE ARTERY IS WHAT IS DEALING WITH THE HIGHER
PRESSURE. THE VEIN IS RELATIVELY WEAK. THE ARTERY IS PULSATILE AND PRESSURE IS GOING
THROUGH IT QUITE QUICKLY. THE VEIN IS JUST HAS VALVES AND FLOWS PASSIVELY. ARTERIES CROSS VEINS AND AS THOSE ARTERIES
CROSS THE VEIN AND THE ARTERY IS DEALING WITH A HIGHER PRESSURE THE ARTERY CRUSHES THE VEIN
AND THAT’S CALLED AV NICKING, AND SO WE SEE THAT INSIDE THE EYE. ARTERIOVENOUS CROSSINGS WHERE THE VEIN IS
JUST SQUEEZED OUT AND THE ARTERY IS COMPRESSING IT. THAT’S A NORMAL PHYSIOLOGIC RESPONSE TO HIGHER
PRESSURE. THE ARTERY IS GETTING STRONGER TO DEAL WITH
THAT AND SO WHEN WE SEE THOSE EARLY CHANGES THAT CAN BE AN END OCCASION THAT MORE CHANGES
ARE HAPPENING DOWN THE ROAD. IF LEFT UNTREATED, YOUR HIGH BLOOD PRESSURE
MAY MANIFEST ITSELF FIRST AS A STROKE INSIDE THE EYEBALL. A STROKE IS ESSENTIALLY AN INTERRUPTION OF
BLOOD FLOW. EITHER BECAUSE OF A BLEED OR BECAUSE OF A
CLOT. AND IN THE IN THE RETINAL DISTRIBUTION THERE’S
THERE ARE SEVERAL CONDITIONS, RETINAL VEIN OCCLUSION AND RETINAL ARTERY OCCLUSION, AND
THEN THERE ARE DIVISIONS OF CENTRAL VERSUS BRANCH. AND SO IF YOU HAVE A CENTRAL RETINAL ARTERY
OCCLUSION IT IS A PAINLESS SUDDEN VISION LOSS. IN THE SAME WAY THAT YOU CAN HAVE A CENTRAL
RETINAL ARTERY OCCLUSION, YOU CAN HAVE A BRANCH RETINAL ARTERY OCCLUSION WHEREBY INSTEAD OF
HAVING COMPLETE VISION LOSS YOU HAVE HEMIFIELD VISION LOSS, ONE SIDE OR THE OTHER IS LOST. IN GENERAL THE TREATMENT FOR A CENTRAL RETINAL
ARTERY OCCLUSION OR A BLOCKAGE OF THE ALL THE BLOOD FLOW TO THE EYE IS A OCULAR PROCEDURE
HERE IN THE OFFICE THAT’S SIMILAR TO CPR. IT’S A IT’S AN IT’S A SMALL EFFORT WITH WITH
PRESSURE ON THE EYE AND SOMETIMES A LOWERING OF THE PRESSURE WITHIN THE EYE VIA DRAINING
A LITTLE BIT OF FLUID TO PUSH A CLOT DOWNSTREAM. SO IF IT’S IN THE CENTRAL TRUNK OF THE VASCULAR
TREE TO TRY TO PUSH IT FURTHER TO A BRANCH OR TO A TRIBUTARY. ANOTHER COMPLICATION THAT MAY ARISE IF YOU
DON’T KEEP YOUR BLOOD PRESSURE IN CHECK IS A CLOGGED VEIN THAT WON’T ALLOW THE BLOOD
FEEDING YOUR EYE TO RECIRCULATE TO THE HEART AND LUNGS. I DESCRIBE IT LIKE A BATHTUB. THERE’S A SPIGOT AND THERE’S A DRAIN. THERE’S A FAUCET AND THERE’S A DRAIN. BLOOD IS COMING IN AND BLOOD IS DRAINING. WE’VE OBSTRUCTED THE DRAIN AND SO THE BATHTUB
STARTS TO FILL UP AND SO WHAT WE SEE IS MACULAR EDEMA. THE EYE GETS REALLY MARSHY AND BOGGY AND SWOLLEN
AND THAT’S VERY TREATABLE. SO THERE ARE INTEROCULAR INJECTIONS, I KNOW
THAT TERRIFIES PEOPLE TO THINK ABOUT, BUT THERE ARE INTRAOCULAR INJECTIONS WHERE WE
BASICALLY PLACE A MEDICINE INTO THE EYE THAT REVERSES THE BODY’S TENDENCY TO LEAK. IT SUPPRESSES THAT TENDENCY FOR THE VESSELS
TO LEAK AND SO YOU CAN TREAT WITH VASCULAR GROWTH FACTOR DRUGS WHICH I KNOW IS A MOUTHFUL,
BUT THESE GROWTH FACTOR BLOCKING DRUGS SUPPRESS THAT. YOU CAN TREAT WITH GOOD OLD STEROIDS AND THOSE
GREAT JOB. YOU CAN TREAT WITH LASER. THOSE HELP AS WELL. MOST IMPORTANTLY WHAT YOU DON’T WANT TO DO
IS EVER THROW THE TOWEL IN ON YOUR EYE. PATIENTS OFTEN WILL FEEL THAT “OKAY I’VE
LOST VISION”. “I’VE GOT THE OTHER EYE”. “I’VE GOT THE OTHER EYE I’M FINE”. WELL YOU’RE AT RISK FOR THE SAME PROBLEM IN
THE OTHER EYE AND IF YOU LIVE LONG ENOUGH STATISTICALLY THERE’S A CHANCE THAT YOU’LL
HAVE THAT PROBLEM. WE HAVE PATIENTS WHO FORMERLY HAD A BAD EYE
AND A GOOD EYE, AND THEN THEY HAD A MORE SERIOUS COMPLICATION IN THEIR GOOD EYE, AND NOW THEIR
BAD EYE IS THEIR GOOD EYE. SO THAT’S, WHAT YOU DON’T WANT TO DO IS SAY
“WELL I’VE GOT A GOOD EYE STILL” BECAUSE YOU YOU DO WANT TO MAINTAIN AS MUCH AS YOU
CAN EVEN THOUGH IT MAY BE YOUR SPARE TIRE AND YOU MAY NOT BE RELYING ON IT AND YOU WOULDN’T
REALLY WANT TO HAVE THAT AS YOUR GOOD EYE, AS YOUR ONLY EYE. YOU MAY LIVE ANOTHER 20 YEARS YOU MAY HAVE
A PROBLEM WITH YOUR GOOD EYE. SO IMPORTANT TO HAVE FOLLOW-UP, IMPORTANT
TO MAKE SURE THAT YOU DO LIMIT YOUR RISK SYSTEMIC RISK FACTORS BUT YOU ALSO FOLLOW THE OPHTHALMIC
SIDE AS WELL IF YOU’D LIKE TO KNOW MORE ABOUT THE EFFECTS
OF HIGH BLOOD PRESSURE ON YOUR EYES, CONTACT DOCTOR FENBERG AT SOUTHWEST RETINA CONSULTANTS,
SWRETINACONSULTANTS.COM. I’M DEBORAH URODA FOR HEALTHY LIVING IN
THE FOUR CORNERS ON DURANGO TV.

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  1. The “Zοtοku Weebly” (Gοοgle it) has helped me to reduce my blood pressure (exactly 20-point cut) for 2 weeks only of applying it. Nevertheless, workout for around 35 mins each day is required in order for this guide to be successful. The impression I have now is extremely content mainly because my blood pressure level is under the border line. .

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