ABSTRACT
Fundoscopy is a routine part of the assessment of the hypertensive patient [68]. However with better levels of control of blood pressure the frequency of severe retinopathy such as that seen by Keith, Wagener, and Barker has declined markedly. Current estimates suggest that retinopathy occurs in only around 2% to 15% of the nondiabetic adult population aged 40 years and older [9-16]. Consequently the
Detection of
value of routine fundoscopy in hypertension has been increasingly questioned on the grounds of poor reproducibility and indifferent predictive value [17; 18]. In contrast, diabetic retinopathy remains an immense health problem and is one of the commonest causes of blindness in adults [19].
