Condensed classification of hypertensive retinopathy is required to deal with day to day problems related to busy physicians who after having seen the positive opinion of ophthalmologist regarding presence of hypertensive retinopathy (regardless of looking at the grade of hypertensive retinopathy ophthalmologist have mentioned) change their patient management plans towards end organ damage. However, many classifications of hypertensive retinopathy start with zero grade (no changes) or minimal/reversible changes. Fortunately, new condensed classification recently developed have solved this day to day problem in clinical practice. In this classification there are only three grades and the very first grade mentions irreversible changes, so it is safe to follow this grading system for reporting regarding presence or absence of hypertensive retinopathy in modern day clinical practice.
Ref. Shah SIA, Huda F, Jalbani A etal: Frequency of hypertensive retinopathy on the basis of “Imtiaz's Grading System of Hypertensive Retinopathy”, at Larkana Pakistan, Pak J Ophthalmol 2018, Vol. 34, No. 4 : 237-242
It is a clear fact and most of us have observed changes in the management plans of their patients by nephrologists/cardiologists, etc. towards end organ damage after we designate the patient is suffering from hypertensive retinopathy (no matter the patient is in first grade which may be zero) because they see the positive or negative report and don't have time to see the grading.
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