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July 1958

The Star-Figure of the Macular AreaHistopathological Study of a Case of Angiospatic (Hypertensive) Retinopathy

Author Affiliations

Ann Arbor, Mich.
From the Laboratories of Neuropathology and Eye Pathology and from the Department of Ophthalmology (Dr. Wolter) of the University of Michigan Hospital, Ann Arbor, and from the Wayne County General Hospital, Eloise, Mich. (Drs. Phillips, Butler, and Wolter).

AMA Arch Ophthalmol. 1958;60(1):49-59. doi:10.1001/archopht.1958.00940080063009

It has been our effort within the last few years to study the histology of ophthalmoscopic findings. Knowledge of the histology of such findings appears valuable, since it often helps understand their development and nature and therefore increases the significance of findings within the clinical entities.

The present paper is concerned with the histology of the retinal changes in advanced angiospastic (hypertensive, nephritic, albuminuric, arteriospastic) retinopathy. This type of retinopathy represents a very complex pathological entity of the retina with a primary vascular involvement and extensive secondary changes of the neuroectodermal tissues of the retina (neurons and glia). In this study our interest is concentrated on the histological findings which explain the ophthalmoscopic symptom of the macular star-figure. This paper represents a continuation of an earlier study on this subject which has appeared also in the Archives of Ophthalmology.1

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