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Category: Volume 06 Issue 06 June 2018
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Title: Ocular Manifestations in Severe Pregnancy Induced Hypertension

Authors: Dr Indu .B, Dr Prasannakumary.C, Dr Padma B Prabhu, Dr Babitha, Dr Jyothy.PT

 DOI:  https://dx.doi.org/10.18535/jmscr/v6i6.115

Abstract

Aims: The aim was to study the ocular manifestations in severe preeclampsia and eclampsia.

Materials and Methods: Hospital based cross sectional study. 150 patients, admitted with severe preeclampsia and eclampsia were studied. Patients were examined and the details including the highest recorded BP and lab parameters were collected. Anterior segment examination and dilated fundus examination were done.

Results: Ocular symptoms were seen in 22% of severe preeclampsia. Blurred vision was the most common ocular complaint. Fundus changes were seen in 45.4% total study subjects. 40% had arteriolar narrowing, which was the most common fundus finding. Systolic and diastolic blood pressure were higher in those with fundus changes than in those without fundus involvement (p value=.00).

Conclusion: SBP and DBP were higher in those with fundus changes compared to those without fundus changes. Increase in BP are indications for frequent and prompt screening of retina to detect early changes, which may reflect similar changes in other organs including placental circulation.

Keywords: Pregnancy induced hypertension (PIH), Eclampsia, retinal changes, serous retinal detachment, Macular oedema.

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Corresponding Author

Dr Prasannakumary.C

GMCH, Kozhikode