Effect of Intensive Blood Pressure Lowering Treatment on Retinal Microvasculature: Secondary Analysis From ESPRIT | 2 Minute Medicine

Effect of Intensive Blood Pressure Lowering Treatment on Retinal Microvasculature

A secondary analysis from the ESPRIT study reveals that intensive systolic blood pressure (SBP) management reduces hypertension-mediated retinal microvascular damage in high-risk populations.

Hypertension causes changes in the retinal microvasculature, leading to hypertensive retinopathy. Antihypertensive treatment slows the progression of this condition.

A multicentre, open-label, randomized controlled trial of 2,518 patients (mean age 62.7 ± 6.4 years, 37%) investigated the effects of intensive SBP treatment.

Intensive systolic blood pressure management reduces hypertension-mediated retinal microvascular damage.

Evidence Rating Level: 1 (Excellent)

Author's summary: Intensive blood pressure lowering treatment reduces retinal microvascular damage.

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2 Minute Medicine 2 Minute Medicine — 2025-10-31