Silver Wire Symptom

The Silver Wire sign is a silvery or silvery-white tint of the retinal arteries observed during ophthalmoscopy, which is a sign of hypertensive angiopathy. This symptom was described in the 1970s and has since become one of the most common signs of hypertension.

With hypertensive angiopathy, damage occurs to the walls of the retinal arterioles, which leads to their thickening and expansion. This may cause the retinal arteries to appear silvery or silvery-white on funduscopy. In this case, the arteries may have varying degrees of dilation and thickening, and hemorrhage and swelling around them may be visible.

Silver wire sign is usually observed in patients with hypertension, but can also be associated with other diseases such as diabetes mellitus, atherosclerosis and other vascular diseases.

Treatment of hypertensive angiopathy includes blood pressure control and antihypertensive medications. In addition, various treatment methods, such as laser photocoagulation of the retina and injections of drugs into the vitreous, can be used to reduce damage to the retina.



The silver wire sign is a pathological symptom that is observed during ophthalmoscopy. It is characterized by the presence of a silvery-white sheen in the retinal arteries and may be one of the signs of hypertension in the patient.

The silver wire symptom is found in patients with a history of hypertension from 5 to 20 years. In this case, a gradual narrowing of the peripheral arteries occurs, which leads to a weakening of blood flow in the vessels of the retina. In addition, this symptom may indicate a decrease in blood viscosity and increased blood flow.

Treatment of this symptom should be comprehensive. First of all, the patient should see a doctor and undergo an examination to identify the cause of the problem. This may be due to serious cardiovascular problems that require surgery or medication. The silver wire sign may also be associated with changes in the eyeball, such as retinal detachment, degenerative changes in the optic nerve, or macular fibrosis.