Visual outcome in cats with hypertensive chorioretinopathy

Purpose To investigate factors associated with long‐term visual outcome in cats with hypertensive chorioretinopathy. Animals studied Eighty‐eight client‐owned cats diagnosed with hypertensive chorioretinopathy. Procedure Medical records from cats with systemic hypertension and associated retinal les...

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Veröffentlicht in:Veterinary ophthalmology 2019-03, Vol.22 (2), p.161-167
Hauptverfasser: Young, Whitney M, Zheng, Chaowen, Davidson, Michael G, Westermeyer, Hans D
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container_title Veterinary ophthalmology
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creator Young, Whitney M
Zheng, Chaowen
Davidson, Michael G
Westermeyer, Hans D
description Purpose To investigate factors associated with long‐term visual outcome in cats with hypertensive chorioretinopathy. Animals studied Eighty‐eight client‐owned cats diagnosed with hypertensive chorioretinopathy. Procedure Medical records from cats with systemic hypertension and associated retinal lesions were reviewed. Results Most cats (61%) were blind in both eyes at presentation. Presence of menace response at last follow‐up evaluation was positively correlated with presence of menace response at presentation (P = .0025), time to complete retinal reattachment (P < .0001), and gender (P = .0137). Seventy‐six of 132 eyes (57.6%) that were blind at presentation regained some vision following treatment. At the time of last evaluation, 101/176 eyes (60%) had a positive menace response, while 34/46 (74%) eyes with a follow‐up of >6 months had a positive menace response. Eyes that had a menace response at presentation were 17 and 37 times more likely to have a menace response at last examination compared to eyes blind for less than 2 weeks and eyes blind greater than 2 weeks, respectively. Female cats were overrepresented (62.5% of cases), and male cats were 4.2 times more likely to be visual at time of last examination compared to female cats. Conclusions With treatment, the prognosis for long‐term vision in cats with hypertensive chorioretinopathy, even following complete retinal detachment, is good.
doi_str_mv 10.1111/vop.12575
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Animals studied Eighty‐eight client‐owned cats diagnosed with hypertensive chorioretinopathy. Procedure Medical records from cats with systemic hypertension and associated retinal lesions were reviewed. Results Most cats (61%) were blind in both eyes at presentation. Presence of menace response at last follow‐up evaluation was positively correlated with presence of menace response at presentation (P = .0025), time to complete retinal reattachment (P &lt; .0001), and gender (P = .0137). Seventy‐six of 132 eyes (57.6%) that were blind at presentation regained some vision following treatment. At the time of last evaluation, 101/176 eyes (60%) had a positive menace response, while 34/46 (74%) eyes with a follow‐up of &gt;6 months had a positive menace response. Eyes that had a menace response at presentation were 17 and 37 times more likely to have a menace response at last examination compared to eyes blind for less than 2 weeks and eyes blind greater than 2 weeks, respectively. Female cats were overrepresented (62.5% of cases), and male cats were 4.2 times more likely to be visual at time of last examination compared to female cats. Conclusions With treatment, the prognosis for long‐term vision in cats with hypertensive chorioretinopathy, even following complete retinal detachment, is good.</description><identifier>ISSN: 1463-5216</identifier><identifier>EISSN: 1463-5224</identifier><identifier>DOI: 10.1111/vop.12575</identifier><identifier>PMID: 29667738</identifier><language>eng</language><publisher>England</publisher><subject>Amlodipine - therapeutic use ; Animals ; Antihypertensive Agents - therapeutic use ; Benzazepines - therapeutic use ; Blindness - veterinary ; cat ; Cat Diseases - drug therapy ; Cats ; Choroid Diseases - drug therapy ; Choroid Diseases - etiology ; Choroid Diseases - veterinary ; Female ; Hypertension - complications ; Hypertension - drug therapy ; Hypertension - veterinary ; hypertensive chorioretinopathy ; hypertensive retinopathy ; Hypertensive Retinopathy - drug therapy ; Hypertensive Retinopathy - etiology ; Hypertensive Retinopathy - veterinary ; Male ; Prognosis ; retina ; systemic hypertension ; Treatment Outcome ; vision ; Vision, Ocular</subject><ispartof>Veterinary ophthalmology, 2019-03, Vol.22 (2), p.161-167</ispartof><rights>2018 American College of Veterinary Ophthalmologists</rights><rights>2018 American College of Veterinary Ophthalmologists.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3255-ff0265e983dc14716cdb155097cd20c2779f9bf6578cb34f76a0d7da6f1bc92c3</citedby><cites>FETCH-LOGICAL-c3255-ff0265e983dc14716cdb155097cd20c2779f9bf6578cb34f76a0d7da6f1bc92c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fvop.12575$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fvop.12575$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>315,781,785,1418,27929,27930,45579,45580</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29667738$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Young, Whitney M</creatorcontrib><creatorcontrib>Zheng, Chaowen</creatorcontrib><creatorcontrib>Davidson, Michael G</creatorcontrib><creatorcontrib>Westermeyer, Hans D</creatorcontrib><title>Visual outcome in cats with hypertensive chorioretinopathy</title><title>Veterinary ophthalmology</title><addtitle>Vet Ophthalmol</addtitle><description>Purpose To investigate factors associated with long‐term visual outcome in cats with hypertensive chorioretinopathy. Animals studied Eighty‐eight client‐owned cats diagnosed with hypertensive chorioretinopathy. Procedure Medical records from cats with systemic hypertension and associated retinal lesions were reviewed. Results Most cats (61%) were blind in both eyes at presentation. Presence of menace response at last follow‐up evaluation was positively correlated with presence of menace response at presentation (P = .0025), time to complete retinal reattachment (P &lt; .0001), and gender (P = .0137). Seventy‐six of 132 eyes (57.6%) that were blind at presentation regained some vision following treatment. At the time of last evaluation, 101/176 eyes (60%) had a positive menace response, while 34/46 (74%) eyes with a follow‐up of &gt;6 months had a positive menace response. Eyes that had a menace response at presentation were 17 and 37 times more likely to have a menace response at last examination compared to eyes blind for less than 2 weeks and eyes blind greater than 2 weeks, respectively. Female cats were overrepresented (62.5% of cases), and male cats were 4.2 times more likely to be visual at time of last examination compared to female cats. Conclusions With treatment, the prognosis for long‐term vision in cats with hypertensive chorioretinopathy, even following complete retinal detachment, is good.</description><subject>Amlodipine - therapeutic use</subject><subject>Animals</subject><subject>Antihypertensive Agents - therapeutic use</subject><subject>Benzazepines - therapeutic use</subject><subject>Blindness - veterinary</subject><subject>cat</subject><subject>Cat Diseases - drug therapy</subject><subject>Cats</subject><subject>Choroid Diseases - drug therapy</subject><subject>Choroid Diseases - etiology</subject><subject>Choroid Diseases - veterinary</subject><subject>Female</subject><subject>Hypertension - complications</subject><subject>Hypertension - drug therapy</subject><subject>Hypertension - veterinary</subject><subject>hypertensive chorioretinopathy</subject><subject>hypertensive retinopathy</subject><subject>Hypertensive Retinopathy - drug therapy</subject><subject>Hypertensive Retinopathy - etiology</subject><subject>Hypertensive Retinopathy - veterinary</subject><subject>Male</subject><subject>Prognosis</subject><subject>retina</subject><subject>systemic hypertension</subject><subject>Treatment Outcome</subject><subject>vision</subject><subject>Vision, Ocular</subject><issn>1463-5216</issn><issn>1463-5224</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kL1OwzAURi0EoqUw8AIoIwxpbSe2GzZU8SdVKgN0tRzHVoySONhOq7w9gZRu3OW7w9EZDgDXCM7RcIudbecIE0ZOwBSlNIkJxunp8Ud0Ai68_4QQJgSyczDBGaWMJcspuN8a34kqsl2QtlaRaSIpgo_2JpRR2bfKBdV4s1ORLK0z1qlgGtuKUPaX4EyLyqurw87Ax9Pj--olXm-eX1cP61gmmJBYa4gpUdkyKSRKGaKyyBEhMGOywFBixjKd5ZoStpR5kmpGBSxYIahGucywTGbgdvS2zn51ygdeGy9VVYlG2c5zDDGDDEKSDejdiEpnvXdK89aZWrieI8h_UvEhFf9NNbA3B22X16o4kn9tBmAxAntTqf5_E99u3kblN6YPcz8</recordid><startdate>201903</startdate><enddate>201903</enddate><creator>Young, Whitney M</creator><creator>Zheng, Chaowen</creator><creator>Davidson, Michael G</creator><creator>Westermeyer, Hans D</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201903</creationdate><title>Visual outcome in cats with hypertensive chorioretinopathy</title><author>Young, Whitney M ; Zheng, Chaowen ; Davidson, Michael G ; Westermeyer, Hans D</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3255-ff0265e983dc14716cdb155097cd20c2779f9bf6578cb34f76a0d7da6f1bc92c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Amlodipine - therapeutic use</topic><topic>Animals</topic><topic>Antihypertensive Agents - therapeutic use</topic><topic>Benzazepines - therapeutic use</topic><topic>Blindness - veterinary</topic><topic>cat</topic><topic>Cat Diseases - drug therapy</topic><topic>Cats</topic><topic>Choroid Diseases - drug therapy</topic><topic>Choroid Diseases - etiology</topic><topic>Choroid Diseases - veterinary</topic><topic>Female</topic><topic>Hypertension - complications</topic><topic>Hypertension - drug therapy</topic><topic>Hypertension - veterinary</topic><topic>hypertensive chorioretinopathy</topic><topic>hypertensive retinopathy</topic><topic>Hypertensive Retinopathy - drug therapy</topic><topic>Hypertensive Retinopathy - etiology</topic><topic>Hypertensive Retinopathy - veterinary</topic><topic>Male</topic><topic>Prognosis</topic><topic>retina</topic><topic>systemic hypertension</topic><topic>Treatment Outcome</topic><topic>vision</topic><topic>Vision, Ocular</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Young, Whitney M</creatorcontrib><creatorcontrib>Zheng, Chaowen</creatorcontrib><creatorcontrib>Davidson, Michael G</creatorcontrib><creatorcontrib>Westermeyer, Hans D</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Veterinary ophthalmology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Young, Whitney M</au><au>Zheng, Chaowen</au><au>Davidson, Michael G</au><au>Westermeyer, Hans D</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Visual outcome in cats with hypertensive chorioretinopathy</atitle><jtitle>Veterinary ophthalmology</jtitle><addtitle>Vet Ophthalmol</addtitle><date>2019-03</date><risdate>2019</risdate><volume>22</volume><issue>2</issue><spage>161</spage><epage>167</epage><pages>161-167</pages><issn>1463-5216</issn><eissn>1463-5224</eissn><abstract>Purpose To investigate factors associated with long‐term visual outcome in cats with hypertensive chorioretinopathy. Animals studied Eighty‐eight client‐owned cats diagnosed with hypertensive chorioretinopathy. Procedure Medical records from cats with systemic hypertension and associated retinal lesions were reviewed. Results Most cats (61%) were blind in both eyes at presentation. Presence of menace response at last follow‐up evaluation was positively correlated with presence of menace response at presentation (P = .0025), time to complete retinal reattachment (P &lt; .0001), and gender (P = .0137). Seventy‐six of 132 eyes (57.6%) that were blind at presentation regained some vision following treatment. At the time of last evaluation, 101/176 eyes (60%) had a positive menace response, while 34/46 (74%) eyes with a follow‐up of &gt;6 months had a positive menace response. Eyes that had a menace response at presentation were 17 and 37 times more likely to have a menace response at last examination compared to eyes blind for less than 2 weeks and eyes blind greater than 2 weeks, respectively. Female cats were overrepresented (62.5% of cases), and male cats were 4.2 times more likely to be visual at time of last examination compared to female cats. Conclusions With treatment, the prognosis for long‐term vision in cats with hypertensive chorioretinopathy, even following complete retinal detachment, is good.</abstract><cop>England</cop><pmid>29667738</pmid><doi>10.1111/vop.12575</doi><tpages>7</tpages></addata></record>
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subjects Amlodipine - therapeutic use
Animals
Antihypertensive Agents - therapeutic use
Benzazepines - therapeutic use
Blindness - veterinary
cat
Cat Diseases - drug therapy
Cats
Choroid Diseases - drug therapy
Choroid Diseases - etiology
Choroid Diseases - veterinary
Female
Hypertension - complications
Hypertension - drug therapy
Hypertension - veterinary
hypertensive chorioretinopathy
hypertensive retinopathy
Hypertensive Retinopathy - drug therapy
Hypertensive Retinopathy - etiology
Hypertensive Retinopathy - veterinary
Male
Prognosis
retina
systemic hypertension
Treatment Outcome
vision
Vision, Ocular
title Visual outcome in cats with hypertensive chorioretinopathy
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