15. Prevalence of Hypertensive Retinopathy in Patients with Pregnancy Induced Hypertension
Nasrullah Khan1, Raza Farrukh2 and Muhammad Zubair3
Objective: To investigate prevalence of hypertensive retinopathy in patients with pregnanacy induced hypertension and association between retinal changes and severity of PIH
Study Design: Cross sectional study
Place and Duration of Study: This study was conducted at the Mola Baksh Hospital, Sargodha which is a maternity wing of DHQ Teaching Hospital Sargodha from July 2017 to December 2017.
Materials and Methods: After taking the informed consent from the patients their blood pressure were recorded, urine examination reports were taken to document protein uria. Name, age, date of admission and gravidity were recorded on a proforma. Tropicamide 1% eye drops were instilled into the patient’s eyes to dilate the pupils. Once dilated direct ophthalmoscopy was done to visualize the fundus and the signs of hypertensive retinopathy. All findings were noted on a data sheet.
Results: 100 pregnant women with diagnosed pregnancy induced hypertension were included in the study. 36 were primigravida while 64 were multigravida. Out of 100 patients 88 (88.00%) were diagnosed with preeclampsia while 12 (12.00%) with eclampsia. Amongst pre-eclampsia patients 58(65.91%) had signs of hypertensive retinopathy on fundoscopic examination while amongst eclampsia patients 5(41.67%) had these signs present. In total 63(63.00%) patients out of 100 had signs of hypertensive retinopathy while in 37(37.00%) patients these were absent. .
Conclusion: Signs of hypertensive retinopathy are commonly found in pregnancy induced hypertensive patients and are important indicator of severity of disease.
Key Words: Pre-eclampsia, eclampsia, Prenancy induced hypertension, hypertensive retinopathy
Citation of articles: Khan N, Farrukh R, Zubair M. Prevalence of Hypertensive Retinopathy in Patients with Pregnancy Induced Hypertension. Med Forum 2018;29(2):60-62.