A STUDY ON THE PREVALENCE OF FUNDUS CHANGES IN PREGNANCY INDUCED HYPERTENSION AMONG ANTENATAL CARE PATIENTS ATTENDING GMERS HOSPITAL, VALSAD

Purpose: It was to determine the prevalence of retinal changes in pregnancy induced hypertension (PIH) and any association between the Retinal changes and age, Gravida, Parity, Blood pressure, Proteinuria and Severity of the disease.

Study design: Hospital based Cross sectional study.

Materials & method: All the patients admitted with a diagnosis of PIH were included in this study. Age, Gravida, Parity, Blood pressure, and Proteinuria were noted from the case record. Fundus examination was done by Indirect Ophthalmolscopy. The finding were noted and were analysed using Microsoft Excel.

Result: The mean age of patients was 23.48 years. Prevalence of fundus changes in PIH is 67%. Out of 88 patients, 41 (46.59%) were the primigravida. 3 (7.31%) patients had gestational hypertension, 17 (41.46%) patients had preeclampsia, and 21 (51.21%) had eclampsia. Hypertensive retinopathies were noted in 59 (67%) patients. Retinal detachment was seen in one patient and one patient with papilloedema. There was statistically significant positive association of retinal changes with proteinuria (p= 0.0001), and severity of the PIH (p= 0.004).

Conclusions: Retinal changes were seen in 67% of patients with PIH. Better antenatal care and early detection and treatment of PIH cases is needful so that there will be decrease in the chances of developing retinopathy.