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The Star-Figure of the Macular Area:  Histopathological Study of a Case of Angiospatic (Hypertensive) Retinopathy

J. REIMER WOLTER, M.D.; ROLAND L. PHILLIPS, M.D.; RICHARD G. BUTLER, M.D.
AMA Arch Ophthalmol. 1958;60(1):49-59. doi:10.1001/archopht.1958.00940080063009.
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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

Report of a Case  A 48-year-old Negro man was transferred

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