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Purpose: The purpose of this study was to observe the prevalence ofHypertensive Retinopathy in patients with Pregnancy Induced Hypertension.Materials and Methods: This cross-sectional study was carried out at HolyFamily Hospital, Rawalpindi from July 2013 to July 2015. 168 patients withPregnancy Induced Hypertension were examined for any fundus changes.Patient’s age, number of pregnancies, gestation period, blood pressure andproteinuria were noted. Pupils were dilated and fundus examination was done bydirect ophthalmoscope. The data was analyzed by SPSS program.Results: A total of 168 patients were examined, 42 (25%) were primi-gravida, 91(54.2%) were multi-gravida and 35 (20.8%) were grand multi-gravida. The meanage was 27.66 (± 5.20) years. The average gestation period was 33.36 (±3.91)weeks. 126 (75%) patients had gestational hypertension, 37 (22%) had preeclampsiaand 5 (3%) patients had eclampsia. Hypertensive retinopathy wasobserved in 87 (51.78%) patients. Central serous chorioretinopathy (CSCR) wasseen in 3 (1.8%) patients. A statistically significant positive correlation was seenbetween the severity of retinal hypertensive changes and blood pressure(p = 0.005), the grade of proteinurea (p = 0.000), severity of disease (p = 0.000)and no of pregnancies (p = 0.001).Conclusion: The level of blood pressure, severity of disease and proteinuria aresignificantly related with severity of hypertensive retinopathy in cases of PIH.Retinal examination can greatly help in predicting the severity of PIH and also intimely diagnosis and management of such cases.Key Words: Retinopathy, hypertension, pregnancy.
Muhammad Imran Janjua, Saira Bano, Ali Raza. (2015) Retinopathy in Pregnancy Induced Hypertension, Pakistan Journal of Ophthalmology, Volume 31, Issue 4.
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