Thank you for the query.
As per the clinical history provided by you, on two separate occasions your BP was recorded as 140/110 and 140/100 mm of Hg (which is indeed high). Your optician has also noted some changes in your eye (which might well be hypertensive
retinopathy - end organ changes). At this stage, I would definitely advice you to start on an antihypertensive regimen. Prolonged, uncontrolled
high BP may lead to end organ damage, affecting your heart, blood vessels, kidneys and eyes (in your case probable eye changes have begun).
Initially, you must go for a salt restricted diet, and start on low dose antihypertensives like Calcium channel blockers (
amlodipine, cilnidipine) or ACEI/ARB. If not controlled with either of them, both of them may be taken.
I would also advise you to get your
lipid profile checked and your ECG done (to rule out end organ changes in the heart). You may consult your family physician/cardiologist for initiating the drug regimen.