OPHTHALMOSCOPIC CHANGES IN PREGNANCY INDUCED HYPERTENSION
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2018, Vol 7, Issue 10
Abstract
BACKGROUND Pregnancy induced hypertension can have grave consequences for both mother and foetus. Ocular involvement is common in majority of cases of PIH. The ocular vascular changes have been said to correlate with the severity of hypertension and ophthalmic examination is very helpful for evaluation, diagnosis and prompt management.(1,2) MATERIALS AND METHODS This study is a descriptive study. 93 patients identified with Pregnancy Induced Hypertension in the Outpatient Department of Obstetrics and Gynaecology and Department of Ophthalmology, Sri Siddhartha Medical College, Tumkur, were enrolled. Inclusion Criteria: All the pregnant women diagnosed as PIH by the obstetrician. Exclusion Criteria: Patients with pre-existing: a) Diabetes mellitus, b) Hypertension, c) Renal disease. Patients with any preexisting ocular diseases. RESULTS A total of 93 patients of PIH were examined. Mean age of the patients was 21 - 40 years (30.5). Gestational period ranged from 20 - 40 weeks (30). Primigravidae 53 (56.9%) and Multigravidae 40 (43%). Retinal changes were seen in 32 (34.4%) patients. Grade 1 changes 30 (32.2%) patients, Grade 2 changes 1 (1.07%) and Grade 3 changes 1 (1.07%) patient. CONCLUSION Ninety three cases of PIH were studied, in which 34.4% of the cases showed retinal changes. This is comparable with various studies. Attenuation of arterioles was the first detectable and the most common retinal change. Majority of retinal changes were of Grade I retinopathy. Retinal changes progress with severity of PIH. Ocular examination reveals important objective information concerning the disorder. Also, we can consider presence of retinal changes to be an indirect marker of severity of PIH and of prognostic value.
Authors and Affiliations
Dhaval H. R, Jayashree S. Shah
Keywords
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- EP ID EP411310
- DOI 10.14260/jemds/2018/292
- Views 65
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