Co-Relation of Ocular Fundus Changes and Pregnancy Induced Hypertension and Its Foetal Outcomes
Mohmed Kandeel *
Department of Obstetrics and Gynecology, Faculty of Medicine, Menoufia University; Egypt.
Hoda El-Sobky
Department of Opthalmology, Faculty of Medicine, Menoufia University, Egypt.
Ahmed Shalah
Department Obstetrics and Gynecology, Minstiry of Health, Egypt.
Essam A. Amin
Department of Obstetrics and Gynecology, Faculty of Medicine, Menoufia University; Egypt.
*Author to whom correspondence should be addressed.
Abstract
Background: Pregnancy-Induced Hypertension (PIH) is a stigmatizing condition in obstetrics and a significant cause of maternal and neonatal death. It is a kind of pregnancy-related hypertension that develops after 20th week of pregnancy with no presence of other reasons of high blood pressure.
Objectives: To study the relation between grades of ocular fundus changes& degree of features severity of pregnancy induced hypertension and its maternal and foetal outcomes.
Subjects and Methods: This is a prospective observational follow up study, the research lasted about 16 months and included 121 pregnant women diagnosed with PIH. Ocular examinations were performed using a direct ophthalmoscope, a slit lamp and grades of retinopathy were recorded and linked to the severity of PIH and its consequences. The data were analyzed statistically.
Results: Results of the study revealed that most of the patients 62% had no abnormal fundus changes while 29.8% of the patients were grade I retinopathy and 7.4% of the patients were grade II retinopathy & There was significant difference between grades of retinopathy and degree of features of severity of PIH & some of its important maternal & foetal outcomes.
Conclusion: Grades of ocular fundus alterations are associated with the severity of PIH's characteristics and are predictive of maternal and fetal comorbidity.
Keywords: Pregnancy induced hypertension, foetal outcomes, ocular fundus changes