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IP International Journal of Ocular Oncology and Oculoplasty

Study of fundus findings in pregnancy induced hypertension

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Research Article

Author Details : Nalini Yadav*, D K Shakya, Samiksha Agrawal, Gourav Chanderiya, Priya Sisodiya

Volume : 5, Issue : 4, Year : 2019

Article Page : 181-185

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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
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.

Doi : 10.18231/j.ijooo.2019.045

How to cite : Yadav N, Shakya D K, Agrawal S, Chanderiya G, Sisodiya P, Study of fundus findings in pregnancy induced hypertension. IP Int J Ocul Oncol Oculoplasty 2019;5(4):181-185

Copyright © 2019 by author(s) and IP Int J Ocul Oncol Oculoplasty. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (CC-BY-NC 4.0) (