Resumo

IBARRA SANCHEZ, Arturo Ariph et al. Ophthalmological changes in pregnancy hypertensive disease. Rev. Asoc. Mex. Med. Crít. Ter. Intensiva [online]. 2016, vol.30, n.1, pp.43-47. ISSN 0187-8433.

Introduction: Hypertensive disorders of pregnancy (HDP) complicates up to 10% of pregnancies worldwide, constituting high maternal and fetal morbimortality, causing visual symptoms or affection of the entire visual axis. Objective: Identify ophthalmologic changes associated with HDP and establish its relationship with severity of illness. Material and methods: We included 126 women, 63 with HDP (group I) including any of its variants, and 63 without HDP (group II) in a period from December 2013 to June 2014. Fundoscopic examination was performed twice in puerperal, an initial exam and two weeks later. Blood pressure (BP) was taken concurrently with the fundoscopy, at the initial exam and two weeks later. Results: Severe preeclampsia (35%) was the predominant HDP disorder of group 1, 78% of this group showed ophthalmologic changes, prevailing changes were spastic angiopathy and prevailing symptoms were phosphenes; however, 43 patients of this group did not show symptoms (68%). Results found no ophthalmologic changes or symptoms in group II. Retinopathy grade was associated with the BP variations, with higher BP showing increased severity of retinopathy. Conclusions: Retinopathy severity is associated with sustained hypertension in HDP. Fundoscopy permits to identify the evolution and severity of the illness so preventative proper measures can be taken.

Palavras-chave : Hypertensive disorders of pregnancy; fundoscopy; spastic angiopathy; phosphenes; prevention.

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