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ISSN: 2394-4137 (E) 2394-6318 (P)

IJIMS.2015.129

Type of Article: Original Research

Volume 2; Issue 10: October 2015

Page No.: 182-185

DOI: 10.16965/ijims.2015.129

 

Prevalence of Hypertensive Retinopathy Changes in Pregnancy induced Hypertension

Anil kumar Bhupally 1,  Sindu Sulekha 1 , Rama Devi E 2 , Swathi M *3, Rohini M 4, Shruthi T 5.

1 Associate Professor, Department of Ophthalmology, Chalmeda Anand Rao Institute of Medical Sciences, Karimnagar, Telangana, India.

2 Professor and HOD Department of Obstetrics and Gynaecology, Chalmeda Anand Rao Institute of Medical Sciences, Karimnagar, Telangana, India.

3,4,5 Post graduate students, Department of Ophthalmology, Chalmeda Anand Rao Institute of Medical Sciences, Karimnagar, Telangana, India.

CORRESPONDING AUTHOR ADDRESS: Dr. Anil kumar Bhupally,  MS (Ophthalmology), Associate Professor, Department of Ophthalmology, Chalmeda Anand Rao Institute of Medical Sciences, Bommakal, Karimnagar, Telangana 505001, India. E-Mail: dr_anil_b@yahoo.com

 

ABSTRACT

Aim: To determine the prevalence of retinal changes in pregnancy-induced hypertension (PIH) and to determine any association between retinal changes and blood pressure (BP), proteinuria, blood urea, serum creatinine and severity of the disease.

Materials and Methods: Patients admitted and diagnosed with PIH are included in the study over a period of 3 years. Age, gravida, gestational age, blood pressure, proteinuria, blood urea, serum creatinine were noted from the case records. History for any eye disease was taken, fundus examination done after dilating the eyes with 1% tropicamide, in a semi dark room in the ward

Results: A time period of 3 years from (June 2011 to June 2014) was taken and all the patients coming to OBG OPD with PIH were examined. Of 154 patients the mean age of patients were 23.68±3.49year(range 18-38year). The gestational period ranged between 20-38 weeks with mean 33.93±3.62. Primigravida 85(56.7%), 47(32.1) 2nd gravida, 22(13.01%) were 3rd gravida. 84(54.54%) had mild preeclampsia, 61(39.61%) had severe preeclampsia, 9(5.84%) had eclampsia. Retinal changes were seen in 42(27.27%). There was statistically significant positive association of retinal changes and blood pressure(p=0.0001), proteinuria (p=0.0001), severity of the PIH (p=0.0001) and no significant association found between retinal changes and blood urea(p=0.507), serum creatinine(p=0.614), serum A/G (p=0.185).

Conclusion: Retinal changes were seen in 42(27.27%) of patients with PIH and they were significantly associated with blood pressure, proteinuria and severity of PIH.

KEY WORDS: Preeclampsia, Eclampsia, Retinal changes, Proteinuria.

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