Blindness associated with preeclampsia and eclampsia

Cunningham, F. Gary; Fernandez, Carlos O.; Hernández, Carlos Mata

doi:10.1016/0002-9378(95)91495-1

Cited by 152 publications

(89 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…A cegueira cortical é uma complicação rara da pré-eclâmpsia/eclâmpsia, ocorrendo em 15% dos casos (56) , podendo ocorrer antes ou depois do parto (57) . Caracteriza-se por perda visual que pode variar de 4 a 192 horas (56) , com exame oftalmoscópico normal e pupilas fotorreagentes.…”

Section: ) Cegueira Corticalunclassified

“…Caracteriza-se por perda visual que pode variar de 4 a 192 horas (56) , com exame oftalmoscópico normal e pupilas fotorreagentes. A tomografia computadorizada detecta lesões de baixa densidade, geralmente bilateral, em córtex occipital (56)(57) e a ressonância nuclear magnética demonstra correspondente lesões de hiper-intensidade (58) na córtex occipital ou na córtex occipital e parietal. Estes achados indicam a presença de edema cerebral, que possivelmente decorre de um vasoespasmo generalizado ou localizado, que causaria uma isquemia transitória, resultando em edema citotóxico; em um segundo momento, teríamos a desrregulação da circulação posterior, resultando em aumento da permeabilidade causando edema vasogênico (59)(60)(61) .…”

Section: ) Cegueira Corticalunclassified

See 2 more Smart Citations

Mudanças oculares durante a gestação

Gouveia¹,

Conceição

Morales³

2009

Arq. Bras. Oftalmol.

View full text Add to dashboard Cite

Section: ) Cegueira Corticalunclassified

See 1 more Smart Citation

Mudanças oculares durante a gestação

Gouveia¹,

Conceição

Morales³

2009

Arq. Bras. Oftalmol.

View full text Add to dashboard Cite

“…In these cases, the vision returns to normal within a week. 3 Rarely permanent visual defects including blindness develop due to cerebral infarction or retinal artery infarction and ischemia. 4,5 Eclampsia is a preventable and treatable cause of maternal morbidity and mortality with poor feto-maternal outcome in developing countries.…”

Section: Introductionmentioning

confidence: 99%

Clinical study of maternal complications associated with eclampsia

Bhanu

Amudha

Sarojini

2017

Int J Reprod Contracept Obstet Gynecol

View full text Add to dashboard Cite

In 10% women, some degree of blindness follows a seizure. Two causes for impaired vision or blindness are ABSTRACT Background: Eclampsia is still one of the leading causes of maternal mortality and morbidity in developing countries. Though the incidence in developed nations has drastically reduced, it has remained the same over years in India, mainly due to lack of awareness, poor socio-economic status and inadequate ante natal check-ups. The objective of this study was to determine the presentation, demographic features, risk factors, management, maternal mortality and morbidity, in women presenting with eclampsia. Methods: This study was conducted in Vanivilas hospital from January to December 2014 for 12 months. Total 230 women with eclampsia were studied with respect to their age, parity, socio economic status, gestational age, details of previous antenatal check-ups, clinical features at presentation, nature and number of convulsions, treatment received before admission, management in the institution and maternal morbidity and mortality. Results: The incidence of Eclampsia was 1.4%. 30% were below 20 years of age, 45% were primigravidas, 97% were referred cases with inadequate antenatal checkups. 68% had antepartum eclampsia, 22% had intrapartum eclampsia and 10% had postpartum eclampsia. 24% had instrumental delivery, 24% underwent caesarean delivery. There were 17.4% ICU admissions, 5.7% acute kidney injury cases and 13 maternal deaths. Conclusions: Eclampsia still remains a major cause of maternal morbidity and mortality in india. Information about danger signs of pre-eclampsia/ eclampsia should be made available to antenatal clients. Importance of timely referral to the tertiary center should be emphasised to the peripheral health workers.

show abstract

“…[3] Visual symptoms may be the precursor of seizures. [4] Various changes in the fundus and visual problems reported in patients of PIH include spasm and focal/generalized narrowing of retinal arterioles, [5] hemorrhages, [5] exudates, [5] peripapillary or focal retinal edema, [5] serous retinal detachment, [6] isolated cases of acute ischemic optic neuropathy, [7] transient blindness, [8] cortical blindness, [9][10][11] exudative retinal detachment, retinal pigment epithelial lesions, [12] permanent blindness secondary to central retinal artery occlusion [13,14] and optic atrophy. [15,16] Optic atrophy secondary to retinal vascular involvement is unusual but may cause visual impairment.…”

Section: Introductionmentioning

confidence: 99%

Clinical assessment of retinopathy post management of pregnancy induced hypertension

Bakhda¹

2015

Int J Med Public Health

View full text Add to dashboard Cite

Pregnancy induced hypertension (PIH) is a multi-system disorder and common complication occurring during pregnancy responsible for maternal and fetal mortality and morbidity. PIH also exerts its infl uence on the eye and visual pathways. Common ocular symptoms being blurring of vision, photopsias, scotomas, diplopia and in severe cases blindness. Early diagnosis and treatment through regular antenatal checkup is a key factor to prevent PIH and its complications. The review discusses the after effects of medical management of PIH on the retina.

show abstract

Blindness associated with preeclampsia and eclampsia

Cited by 152 publications

References 9 publications

Mudanças oculares durante a gestação

Mudanças oculares durante a gestação

Clinical study of maternal complications associated with eclampsia

Clinical assessment of retinopathy post management of pregnancy induced hypertension

Contact Info

Product

Resources

About