Ocular manifestations of Pregnancy Induced Hypertension

Rn, Bakhda

doi:10.7869/djo.144

Cited by 7 publications

(10 citation statements)

References 34 publications

(111 reference statements)

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“…The prevalence in our study is comparable with what was found in other studies done in Pakistan and Malaysia, where the prevalence of retinopathy among women with hypertensive disorders of pregnancy was 51.9%–59% 17 18. Our result is lower than what was found in Kenya (90.8%) 19.…”

Section: Discussionsupporting

confidence: 88%

“…All pregnant women who had hypertensive disorders of pregnancy either diagnosed as inpatient or outpatient were screened for retinopathy. The primary outcome for our study was retinopathy and was determined using Keith and Wagner (KW) classification 17…”

Section: Methodsmentioning

confidence: 99%

“…Ocular involvement is common in a majority of cases of hypertensive disorders of pregnancy. Common symptoms are blurry vision, photopsia, scotomas and diplopia 3. Visual disturbances and retinopathy in hypertensive disorders of pregnancy seem to be a frequent phenomenon 4.…”

Section: Introductionmentioning

confidence: 99%

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Retinopathy among women with hypertensive disorders of pregnancy attending hospitals in Mbarara city, south-western Uganda: a cross-sectional study

Zamaladi,

Ruvuma,

Mceniery

et al. 2023

BMJ Open

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ObjectiveRetinopathy is one of the complications occurring among women with hypertensive disorders of pregnancy. We sought to determine the prevalence and factors associated with retinopathy among women with hypertensive disorders of pregnancy in southwestern Uganda.DesignThis was a hospital-based cross-sectional study from November 2019 to March 2020.SettingThree selected hospitals in Mbarara city, south-western Uganda.ParticipantsThe study included all pregnant women with hypertensive disorders of pregnancy.Primary and secondary outcome measuresThe participants were screened for retinopathy using a fundus camera. Data on participant’s sociodemographics, obstetrics and medical factors were collected. The prevalence of retinopathy was determined and multivariable logistic regression was used to determine the independent factors associated with retinopathy.ResultsA total of 216 women with hypertensive disorders of pregnancy were enrolled in this study. The prevalence of retinopathy was 60.2% (130/216). The most common retinal lesions were grade 1 retinopathy (narrowing of arterioles) accounting for 86.9% (113/130), grade 3 (retinal haemorrhages) was present in 10% (13/130) of women and grade 4 (papilloedema) in 3% (4/130). In an adjusted analysis, severe hypertension was significantly associated with retinopathy (aOR=2.8; 95% CI: 1.36 to 5.68). Grandmultigravida women were also associated with retinopathy (aOR=2.4; 95% CI: 0.99 to 5.72) with a tendency towards significancy, p=0.051.ConclusionsIn our study, retinopathy was common among women with hypertensive disorders of pregnancy. Women presenting with severe hypertension were likely to have retinopathy. There is a need to integrate screening for retinopathy in the care cascade of women with hypertensive disorders of pregnancy.

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Section: Discussionsupporting

confidence: 88%

Section: Methodsmentioning

confidence: 99%

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Retinopathy among women with hypertensive disorders of pregnancy attending hospitals in Mbarara city, south-western Uganda: a cross-sectional study

Zamaladi,

Ruvuma,

Mceniery

et al. 2023

BMJ Open

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“…Ocular involvement includes conjunctival vascular anomalies, hypertensive retinopathy, exudative retinal detachment, vitreous and pre-retinal haemorrhages, ischemic optic neuropathy and hypertensive choroidopathy. 5 In our study number of patients with PIH were 21 young females, most of them were primi gravida with uncontrolled blood pressure, all these patients were referred from maternity hospital for screening the ocular changes in fundus.…”

Section: Discussionmentioning

confidence: 89%

Clinical study and management of various ocular manifestations in hypertensive patients at tertiary eye care centre in South India

Sultana

2022

IJOOO

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Aim of our study is to study the various ocular manifestations and management in hypertensive patients. This was retrospective interventional study conducted over a period of 5 years from January 2016 to December 2020.All patients of all age group having primary and secondary hypertension, referred from physicians for screening were included. Patients with associated diabetes mellitus were excluded.421 patients who presented to our retina clinic underwent detail ocular and systemic examination. BCVA, slit lamp examination, fundus examination, B scan, OCT, FFA and documentation done in all cases. Patients presented with various ocular manifestations were managed based on the clinical status. Consent was taken for the management. Patients with ischemic retina showed poor outcome, patients with early presentation showed good outcome. Hypertension is one comorbidity which is responsible for eye problems, need frequent screening, fundus examination is non-invasive procedure which helps in detecting the vascular changes early.

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“…Pregnancy is a physiological state with many changes in the physiological and biochemical parameters of the body. Pregnancy-induced hypertension is a difficult stigma in obstetrics and a leading cause of maternal and perinatal mortality [13][14][15][16][17][18]. PIH is a hypertensive disorder in pregnancy that occurs in the absence of other causes of elevated blood pressure (140/90 mmHg) or a rise of 30 mmHg of diastolic blood pressure taken on two occasions after rest, in combination with generalized edema and/or proteinuria.…”

Section: Discussionmentioning

confidence: 99%

Ocular Manifestations in Pregnancy-Induced Hypertension at a Tertiary Level Hospital in Karnataka, India

Warad¹,

Midha²,

Pandey³

et al. 2023

Cureus

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IntroductionPregnancy-induced hypertension (PIH) is a hypertensive disorder in pregnancy that occurs after 20 weeks of pregnancy in the absence of previously known hypertension.PIH is a common and serious complication accompanying pregnancy. Pre-eclampsia and eclampsia are multisystem disorders that can involve end organs like kidneys, liver, eyes, haematopoietic system and placenta. Though ocular involvement is not uncommon in PIH, ocular examination is not always done in all cases of PIH. Timely detection of changes in retinal vasculature can be a hint to the underlying changes in the vascular system of the various end organs of the human body including placental circulation. Adequate management of PIH is very important for both fetal and maternal well-being. AimTo evaluate the ocular manifestations in women affected by PIH (mild pre-eclampsia, severe pre-eclampsia and eclampsia) presenting to a tertiary-level hospital. MethodologyThis was a hospital-based cross-sectional study carried out for a period of one year at a tertiary-level hospital. A total of 120 subjects diagnosed as cases of pre-eclampsia/eclampsia admitted to the eclampsia ward of the obstetric unit formed the study population. After taking history, a detailed ocular examination was done for all patients and the findings were noted.

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Ocular manifestations of Pregnancy Induced Hypertension

Abstract: Pregnancy Induced Hypertension (PIH)

Cited by 7 publications

References 34 publications

Retinopathy among women with hypertensive disorders of pregnancy attending hospitals in Mbarara city, south-western Uganda: a cross-sectional study

Retinopathy among women with hypertensive disorders of pregnancy attending hospitals in Mbarara city, south-western Uganda: a cross-sectional study

Clinical study and management of various ocular manifestations in hypertensive patients at tertiary eye care centre in South India

Ocular Manifestations in Pregnancy-Induced Hypertension at a Tertiary Level Hospital in Karnataka, India

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