Preeclampsia Induced Ocular Change

Ghavidel, Leila Alizadeh; Mousavi, Farideh; Bagheri, Masood; Asghari, Saba

doi:10.15296/ijwhr.2018.20

Cited by 12 publications

(7 citation statements)

References 29 publications

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“…(Pre)eclampsia-related retinal changes and dysfunction can lead to blurred or double vision, sudden transient vision loss, and flashing lights [ 32 ]. Visual symptoms occur in 25% of women with severe preeclampsia and 50% of patients with eclampsia [ 33 ]. Preeclampsia is more common in patients who have diabetes, which poses additional risk for comorbidity with DR [ 34 ].…”

Section: Eye Health Disparities Due To Biological Sex Differencesmentioning

confidence: 99%

The roles of sex and gender in women’s eye health disparities in the United States

et al. 2021

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Background In the United States, women are at a higher risk of developing vision impairment or a serious eye disease (such as age-related macular degeneration, thyroid eye disease, or chronic dry eye disease) than men. Disparities in eye diseases due to biology widen even further when considering factors such as social determinants of health; gaps in research data, literature, and policy; insufficient provider and patient education; and limitations in screening and treatment options. Sex and gender disparities in eye health are clinically under-addressed and burdensome on both patient quality of life and the health care and economic systems, resulting in a pressing population health issue that negatively impacts women. Design The Society for Women’s Health Research convened a working group of expert clinicians, researchers, and patient advocates to review the current state of science regarding sex and gender disparities in women’s eye health, identify knowledge gaps and unmet needs, and explore better means to advance research, improve patient care, and raise awareness of key issues. Discussion The SWHR Women’s Eye Health Working Group identified priority areas in research, clinical care, and education to reduce disparities and improve patient care in women’s eye health. The working group recommends using a systems approach that incorporates a comprehensive research framework with a sex and gender lens to guide future work and that increases health care provider and public education, as well as engagement by expanding partnerships among ophthalmologic providers, researchers, and non-vision stakeholders.

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Section: Eye Health Disparities Due To Biological Sex Differencesmentioning

confidence: 99%

The roles of sex and gender in women’s eye health disparities in the United States

et al. 2021

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“…1 This complication will affect 5 to 10% of all pregnancies. 2 The clinical presentation of preeclampsia is increasing blood pressure >140/90 mmHg with Proteinuria, but if the proteinuria is negative, every hypertensive woman should be still investigated for multisystem disorder, in order to eliminate the hypothesis of preeclampsia. 1 Preeclampsia can affect many multisystem disorders including cardiovascular changes, hematologic abnormalities, hepatic and renal impairment, cerebral dysfunction, and it also can cause visual disruptions.…”

Section: Discussionmentioning

confidence: 99%

“…[1] The rate of incidences range from 5 to 10 % in all pregnancies. [2] Clinical condition in Preeclampsia is increasing blood pressure and proteinuria. Preeclampsia can cause multisystem disorders including visual disruptions.…”

mentioning

confidence: 99%

Severe Preeclampsia at 26 weeks gestation on Nulliparous with complication of Bilateral Serous Retinal Detachment

Septiani,

Defri,

Emputri

2019

Obgynia

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Preeclampsia is still one of the leading causes of death and severe maternal morbidity. The rate of incidences range from 5 to 10 % in all pregnancies. Clinical condition in Preeclampsia is increasing blood pressure and proteinuria. Preeclampsia can cause multisystem disorders including visual disruptions. The incidence rate of visual system disruptions is 25 % of patients with severe preeclampsia and 30% of patients with eclampsia. The most common visual complication is hypertensive retinopathy, serous retinal detachment, and cortical blindness. The incidences of serous retinal detachment are approximately 1% in severe preeclampsia and 10% in eclampsia. We report a case of 28 years old nulliparous with severe preeclampsia at 26 weeks gestation, who complained blurred vision, we ran several examinations and bilateral serous retinal detachment was diagnosed. Her visual has significant improvement a few weeks after pregnancy termination.Abstrak Preeklampsia masih menjadi salah satu penyebab utama kematian dan morbiditas maternal.[1] Tingkat insiden preeklampsia berkisar dari 5 hingga 10% pada semua kehamilan.[2] Kondisi klinis Preeklampsia adalah meningkatnya tekanan darah dan proteinuria. Preeklamsia dapat menyebabkan gangguan multisistem termasuk gangguan penglihatan.[3] Tingkat kejadian gangguan sistem penglihatan adalah 25% pada pasien dengan preeklampsia berat dan 50% pada pasien dengan eklampsia.[3] Komplikasi visual yang paling umum terjadi adalah retinopati hipertensi, serous retinal detachment, dan kebutaan kortikal.[4] Insidensi serous retinal detachment sekitar 1% pada preeklampsia berat dan 10% pada eklampsia.[5] Kami melaporkan kasus nulipara berusia 28 tahun dengan preeklamsia berat pada usia kehamilan 26 minggu, yang mengeluhkan penglihatan kabur, dilakukan beberapa pemeriksaan dan bilateral serous retinal detachment ditegakkan. Penglihatan pasien mengalami perbaikan yang signifikan minggu ke-lima setelah terminasi kehamilan.

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“…Ocular complications often forecast a positive prognosis in pregnancy-related hypertension. Nevertheless, regular assessments, timely identification, and swift intervention are crucial for ensuring favorable outcomes for both the mother and the eventual fetal well-being [15,[39][40][41][42].…”

Section: Neuro-ophthalmic Emergencies and Pregnancy Preeclampsia And ...mentioning

confidence: 99%

“…Cortical blindness is associated with the absence of ophthalmological lesions anterior to the lateral geniculate body, normal ocular motility, and normal pupillary reflexes [38][39][40]. We recommend that you pay attention to any pregnant woman with headaches, hypertension or proteinuria at which a lumbar puncture, orbito-cerebral MRI should be performed: opening pressure and laboratory examination [41,42].…”

Section: Neuro-ophthalmic Emergencies and Pregnancy Preeclampsia And ...mentioning

confidence: 99%

A Narrative Review on Neuro-Ophthalmological Manifestations That May Occur during Pregnancy

Anton,

Bogdănici,

Branișteanu

et al. 2024

Life

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Aim: As a medical condition, pregnancy mandates the simultaneous treatment of both the mother and the fetus, making it a distinctive aspect of clinical medicine. Material and Method: We analyze the physiological changes occurring in the eyes and brain during pregnancy, as well as the neuro-ophthalmological manifestations that can occur during pregnancy. Studies published in both English and other languages, case reports, and reviews from 2011 to 2023 onwards were included. All surveys were acquired by exploring the databases. Results: We found a total of 2135 articles that showcase neuro-ophthalmic changes related to pregnancy: review and research articles (Science Direct 804, Web of Science 923, Scopus 345, and 63 Pub Med). In total, 86 studies were examined after applying the inclusion and exclusion criteria. Bilateral papilledema can be a warning sign for intracranial hypertension or cerebral venous sinus thrombosis. Additionally, when unilateral, it is important to differentially diagnose anterior ischemic optic neuropathy secondary to a hypercoagulant, compressive or inflammatory optic neuropathy, optic neuritis, or even orbital pseudotumor state. Severe eclampsia and preeclampsia can manifest as choroidal infarction, serous retinal detachment, and even cortical blindness. There can also be implications at the level of cranial nerves or transient Horner syndrome. Conclusions: Evaluating and treating a pregnant woman with neuro-ophthalmological manifestations is challenging. The obstetrician closely follows and has a medical relationship with the pregnant woman; hence he/she might be the first to be informed about the general condition of the pregnant woman or might request an ophthalmologic examination tailored to each specific case.

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Preeclampsia Induced Ocular Change

Cited by 12 publications

References 29 publications

The roles of sex and gender in women’s eye health disparities in the United States

The roles of sex and gender in women’s eye health disparities in the United States

Severe Preeclampsia at 26 weeks gestation on Nulliparous with complication of Bilateral Serous Retinal Detachment

A Narrative Review on Neuro-Ophthalmological Manifestations That May Occur during Pregnancy

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