Ocular fundus changes in pre-eclampsia and eclampsia in a rural set-up
Journal Title: Medpulse International Journal of Ophthalmology - Year 2018, Vol 8, Issue 2
Abstract
Background:For fetal and maternal mortality, during pregnancy, pregnancy induced hypertension (PIH) is the most common complication which contributes significantly. Aim:This study aimed to evaluate ocular fundus changes in pre-eclampsia in tertiary healthcare center. Materials and Methods: This study is a prospective, hospital based, observational study conducted between August 2015 to July 2017 at Osmania generalhospital and government maternity hospital, Petlaburj in Telangana state of India. Results: 60 cases (50%) showed fundus changes in age group of 18-23 years. More are the possibilities of changes of fundus in the eye in the younger age group. The ocular changes was observed more in severe pre-eclampsia (50%) followed by mild pre-eclampsia (34%) followed by eclampsia (22%). Focal arteriolar attenuation was a common retinal sign and it was most commonly seen in severe pre-eclampsia. 70 cases (58%) have shown normal fundus changes. Grade I ocular vascular changes were observed in 26 cases (22%), Grade II ocular fundal changes were observed in 10 cases (8%), Grade III ocular changes were observed in 8 cases (7%) and Grade IV ocular changes were observed in 6 cases (5%). Conclusion:Severity of PIH is increased with changes of retinal progress. Thus the presence of retinal changes can be considered as an indirect marker of the severity of PIH
Authors and Affiliations
Porika Ram Mohan Lal, Bonu Chandrasekhar Rao
Keywords
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- EP ID EP460609
- DOI 10.26611/1009821
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