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International Journal of Recent Trends in Science and Technology, ISSN 2277-2812 E-ISSN: 2249-8109

Volume 7, Issue 3, July 2013 pp 110-113

Research Article

Fundoscopic Changes in Pregnant Mother with Hypertension Complicating Pregnancy and Various Parameters of Foetus

Smita Dileep Javadekar¹, Dileep P.Javadekar², Kena Joshi³, Rakhi Khatiwala⁴

{¹Associate Professor, ^3,4Resident} Department of Ophthalmology, KIMSDU, Karad, Maharashtra, INDIA.

Academic Editor : Dr. Aher K.R.

Aims: To observe relationship of fundus changes and various parameters of the foetus in Gestational Hypertension patients Settings and Design: A prospective cohort study. Materials and Methods: Detailed ocular history and ocular examination including direct fundoscopy was done and findings were noted in hundred patients with Gestational Hypertension. Investigations like urine protein, blood urea, serum uric acid and platelet count were done in all patients. After the delivery foetal outcome was assessed by gestational age, birth weight, 1 minute Apgar score, stillbirth and neonatal death. The chi square test was used to evaluate the association between the various fundus changes and foetal outcome. Results: 60% patients were primigravida. Various Fundus changes were observed in 42 % of the Gestational Hypertension patients. The means of systolic and diastolic BP of the subjects with hypertensive fundus changes were 178.07mm of Hg. with standard deviation of 12.10 and 100.63mm of Hg. with standard deviation 0f 12.86 respectively, whereas those values without fundus changes were 146.17mm of Hg. with standard deviation of 4.94 and 93.13mm of Hg. with standard deviation of 2.40. Vascular changes without retinal, optic nerve changes did not have any effect on foetal birth weight or Apgar score. Retinal changes were found to be associated (P < 0.05) with low birth weight (<2.5 kg) as well as low Apgar score. Conclusion: Retinal changes are associated with low birth weight. Fundus evaluation in patients with Hypertensive disorder of pregnancy is an important procedure to predict adverse fetal outcomes.