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Table 1 The Keith–Wagener–Barker classification system for hypertensive retinopathy

From: Serum uric acid concentration is associated with hypertensive retinopathy in hypertensive chinese adults

Grade

Features

None

No detectable positive signs

1

Mild or moderate generalized retinal arteriolar narrowing, arteriovenous tortuosity

2

Definite focal narrowing and arteriovenous nipping, crossing compression

3

Copper wire or silver wire artery, signs of grade 2 retinopathy plus retinal hemorrhages, exudates and cotton wool spots

4

Severe grade 3 retinopathy plus papilledema or retinal edema