STUDY OF ASSOCIATION OF FUNDAL CHANGES AND FETAL OUTCOMES IN PREECLAMPSIA
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2014, Vol 3, Issue 21
Abstract
[b]BACKGROUND:[/b] Pre eclampsia is characterized by endothelial dysfunction and vasospasm of vessels which can be observed by an ocular fundal examination. The fundus usually develops changes like hypertensive retinopathy, papilledema, exudative retinal detachment, vitreous and pre retinal hemorrhages. Retinopathy is associated with placental insufficiency and intra uterine growth retardation. [b]AIM: [/b]To assess the prevalence of fundal changes in preeclampsia and to study the association between degrees of hypertensive retinopathy changes in fundus and fetal outcome. [b]METHODS: [/b]100 patients presenting at department of obstetrics and gynecology diagnosed as pre eclampsia at R. L. Jalappa hospital from December 2011-June 2013 were recruited in the study. Patient recruited underwent ocular examination using snellens chart, pupillary examination, slit lamp examination and dilated fundal examination. The retinopathy was graded according to Keith and Wagner classification. The fetal parameters considered were birth weight, APGAR score, still birth and neonatal death. [b]RESULTS: [/b]Patients age ranged from 17-28 years of age with average of 23.28±3.37. Average systolic and diastolic blood pressures were 156.9±17.961 and 104.88±13.58. All patients had normal anterior segment. 98% of patients had vision of 6/6.2%of them had 6/9. Based on retinopathy classification, we found 34 patients with grade 1 and 13 patients with grade 2 hypertensive retinopathy. Only 3 patients presented with grade3 hypertensive retinopathy. There was significant association of retinopathy with proteinuria, serum uric acid levels and the fetal birth weight with p value <0.05. [b]CONCLUSION: [/b]Fundoscopy of retina is a simple, non- invasive, safe and reliable procedure to interpret the vascular changes. Therefore, it may be concluded that the degree of hypertensive retinopathy in women with preeclampsia is a valid and reliable prognostic factor that gives valid prognostic information on assessment of the severity of pre eclampsia and neonatal outcome
Authors and Affiliations
Mithila R, Narendra Datti, Gomathy E, Krishnamurthy D
Keywords
Related Articles
- EP ID EP164142
- DOI 10.14260/jemds/2014/2679
- Views 87
- Downloads 0
STRONGYLOIDES STERCORALIS AND ITS RISK FACTORS: AN EXPERIENCE AT A TERTIARY CARE HOSPITAL
Strongyloides stercoralis is one of the most neglected tropical parasitic infestations. The present study was carried out considering the paucity of data available from Indian context regarding the prevalence and...
A COMPARATIVE STUDY OF EFFICACY OF CENTCHROMAN AND EVENING PRIMROSE OIL IN TREATMENT OF BENIGN BREAST DISEASE
BACKGROUND Fibroadenomas are the most common breast lumps in women younger than 30 yrs. of age and the most common solid tumours in breast of women of all ages with a peak incidence at around 20 yrs. of age. Hormonal the...
COMPARATIVE STUDY OF CLINICAL PROFILE AND OUTCOME OF CASES OF PULMONARY TUBERCULOSIS WITH AND WITHOUT DIABETES MELLITUS UNDER RNTCP IN RURAL AND SEMIURBAN AREAS, MEDAK DISTRICT
BACKGROUND A comparative study of clinical profile and outcome of 50 cases of pulmonary tuberculosis with diabetes mellitus and 50 cases without diabetes mellitus was done. The aim of this study is to know the difference...
CORRELATION OF TOTAL LEUCOCYTE COUNT, EOSINOPHIL, NEUTROPHIL AND LYMPHOCYTE COUNTS WITH PULMONARY FUNCTION IN COPD PATIENTS
BACKGROUND Chronic obstructive pulmonary disease (COPD) is the fourth leading cause of death in India. In COPD, there is an increased number of leucocytes, suggesting a role for the inflammatory response in the clinical...
MATERNAL AND FOETAL OUTCOME IN ADHERENT PLACENTA AND ITS ASSOCIATION WITH PREVIOUS LOWER SEGMENT CAESAREAN SECTION AND HISTORY OF ABORTIONS
BACKGROUND Placenta adherence is a significant cause of maternal morbidity and mortality. Normally, the placenta adheres to decidua basalis layer, allowing for a smooth separation of the placenta from the uterus after de...