Fundus Changes In Pregnancy Induced Hypertension

Authors

  • Poojyashree Karki Department of Ophthalmology, KIST Medical College Teaching Hospital, Imadol, Lalitpur
  • PS Basnet Department of Ophthalmology, KIST Medical College Teaching Hospital, Imadol, Lalitpur,
  • A Basnet Department of Ophthalmology, KIST Medical College Teaching Hospital, Imadol, Lalitpur
  • MJ Sijapati Department of Internal Medicine, KIST Medical College Teaching Hospital, Imadol, Lalitpur
  • Manish KC KIST Medical College Teaching Hospital, Imadol, Lalitpur
  • K Pokharel KIST Medical College Teaching Hospital, Imadol, Lalitpur

DOI:

https://doi.org/10.3126/jucms.v5i1.19054

Keywords:

Choroidopathy, Optic neuropathy, Pregnancy induced hypertension, Retinopathy

Abstract

BACKGROUND: Ocular involvement in Pregnancy Induced Hypertension (PIH) is common. Hypertensive disorders have a propensity to involve the vascular tissue, which makes the ocular vessels particularly susceptible. Widespread changes in the conjunctiva, retina, vessels, choroid, optic nerve, and occipital cortex have been documented in these patients; some of them leading to decreased vision too.Various studies have correlated the fundus changes with maternal and foetal outcomes and documented the progression of retinal vascular changes a sign of increasing severity of PIH. So this study was carried out to find out fundus changes in PIH.

MATERIALS & METHODS: Study design was retrospective descriptive type. Records of 96 patients admitted in the Obstetrics ward, KIST Medical College Teaching Hospital, Imadol, Lalitpur, Nepal, with the diagnosis of PIH were reviewed and duration of study was 3 years (October 2010 – October 2013). Patients were evaluated for hypertensive fundus changes.

RESULTS: Fundus changes were found in 16.6% patients of PIH. Fundus findings comprised of vascular changes, extravascular retinal changes, optic neuropathy and choroidopathy. Vitreous hemorrhage, serous retinal detachment and macular star were not found in this study. 

CONCLUSION: Fundus evaluation in patients with PIH is an important part of their management as there are various fundus changes found in these patients which may lead to decrease in vision.  

Journal of Universal College of Medical Sciences (2017) Vol.05 No.01 Issue 15, page: 42-44

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Author Biographies

Poojyashree Karki, Department of Ophthalmology, KIST Medical College Teaching Hospital, Imadol, Lalitpur

Associate Professor

PS Basnet, Department of Ophthalmology, KIST Medical College Teaching Hospital, Imadol, Lalitpur,

Lecturers

A Basnet, Department of Ophthalmology, KIST Medical College Teaching Hospital, Imadol, Lalitpur

Lecturers

MJ Sijapati, Department of Internal Medicine, KIST Medical College Teaching Hospital, Imadol, Lalitpur

Assoc. Professor

Manish KC, KIST Medical College Teaching Hospital, Imadol, Lalitpur

Interns

K Pokharel, KIST Medical College Teaching Hospital, Imadol, Lalitpur

Interns

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Published

2018-01-21

How to Cite

Karki, P., Basnet, P., Basnet, A., Sijapati, M., KC, M., & Pokharel, K. (2018). Fundus Changes In Pregnancy Induced Hypertension. Journal of Universal College of Medical Sciences, 5(1), 42–44. https://doi.org/10.3126/jucms.v5i1.19054

Issue

Vol. 5 No. 1 (2017)

Section

Original Articles

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