Authors : Nalini Yadav, D K Shakya, Samiksha Agrawal, Gourav Chanderiya, Priya Sisodiya
DOI : 10.18231/j.ijooo.2019.045
Volume : 5
Issue : 4
Year : 2019
Page No : 181-185
Aim: To evaluate the prevalance of fundus changes in pregnancy induced hypertension and to assess the
correlation between fundus changes and severity of pregnancy induced hypertension, age and parity of the
patients.
Materials and Methods: 100 patients admitted with pregnancy induced hypertension were included.
Pre-existing diabetes mellitus, hypertension, renal disease, anaemia, connective tissue disorders, and high
myopia, len and corneal opacities were excluded.
Age and gravida were noted. Vision was recorded and anterior segment examined.
Dilated fundus was examined. Blood pressure, proteinuria, serum uric acid and blood urea levels were
noted. Hypertensive retinopathy were graded by using the Keith Wagner Barker classification.
Observation: Most of PIH cases (66%) were found in the age group of 21–25 years with mean age=24.32
2.835 years. 70% of the cases were seen in primigravidas and 30% were multigravida. 75% patients of
mild preeclampsia, 20% patients of severe preeclampsia and 5% of eclampsia. 38% patients had normal
fundus findings and the rest 62% patients had hypertensive retinopathy, 32% had grade 1 hypertensive
retinopathy, 21% had grade 2, 5% had grade 3 and 4% of the cases had grade 4 hypertensive retinopathy.
Fisher’s exact test was done. Study showed positive correlation between fundus findings and severity of
PIH (P value 0.000). There was no correlation of fundus findings with age or parity of the patient.
Conclusion: Fundus examination plays an important role in all patients with PIH.
Keywords: Fundus changes, Pregnancy induced hypertension, Preeclampsia, Eclampsia, Grades of hypertensive retinopathy.