Specialized Diagnostic Investigations to Assess Ocular Status in Hypertensive Diseases of Pregnancy

Bakhda, Rahul Navinchandra

doi:10.3390/diseases4020019

Cited by 2 publications

(2 citation statements)

References 68 publications

(76 reference statements)

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“…Ocular ultrasonography has become an essential tool in the evaluation of ocular diseases. 21 While the B-mode ultrasound evaluates the anterior chamber and posterior segment, including the anchored retinal layer, the Doppler ultrasound mode evaluates blood flow in blood vessels in the eye. 19–21 Doppler ultrasonography detects changes in ocular blood flow resulting from changes in mean arterial blood pressure at the level of the eye and changes in intraocular pressure.…”

Section: Introductionmentioning

confidence: 99%

Case-control study on ocular changes and ophthalmic Doppler velocimetric indices among preeclamptic and normotensive pregnant women in Ibadan, Nigeria

et al. 2020

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ObjectiveTo compare the ocular changes and Doppler velocimetric indices in preeclamptic and normotensive pregnant women.Methods and analysisThis was a case-control study of 71 preeclamptic women and 72 parity-matched normotensive pregnant women conducted at the University College Hospital, Ibadan, Nigeria. Demographic data were obtained using questionnaires. All participants had visual acuity assessment, funduscopy, intraocular pressure measurement and orbital Doppler ultrasonography. The differences in parameters between the two groups were tested using Student’s t-test for quantitative variables and χ2 tests for categorical variables.ResultsThere were no significant differences between cases and controls with respect to sociodemographic variables. The mean pulsatility index was 1.35±0.46 in cases and 2.1±0.4 in controls (p<0.001); the resistivity index was 0.7±0.18 in cases and 0.83±0.27 among the controls (p=0.01). A similar pattern was observed in the peak systolic velocity (p<0.001) and the peak ratio (p<0.001). There was no significant difference between the groups concerning end-diastolic velocity (p=0.535). Three preeclampsia patients (5.2%) had abnormalities on funduscopy compared with none of the controls. Preeclamptic women had significantly higher intraocular pressures in both eyes at baseline and at 24 hours post delivery.ConclusionThis study demonstrated lower Doppler velocimetry and impedance parameters and higher intraocular pressure among preeclampsia cases compared with controls. Abnormal funduscopic findings were observed in a few preeclamptic women and none among the controls. Ophthalmic artery Doppler parameters could be useful in identifying those women who are likely to suffer preeclampsia and its complications.

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Section: Introductionmentioning

confidence: 99%

Case-control study on ocular changes and ophthalmic Doppler velocimetric indices among preeclamptic and normotensive pregnant women in Ibadan, Nigeria

et al. 2020

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“…While FA has been used in early pregnancy without reported major complications, ICG is considered safer during pregnancy, as it does not cross the placenta. However, any decision to use these angiography techniques during pregnancy should be carefully considered, weighing the potential benefits against the associated risks, and consultation with healthcare professionals is crucial for making informed decisions [90,91].…”

Section: Clinical Investigationsmentioning

confidence: 99%

Current Trends in Diagnosis and Treatment Approach of Diabetic Retinopathy during Pregnancy: A Narrative Review

Rosu,

Prodan-Bărbulescu,

Maghiari

et al. 2024

Diagnostics

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Diabetes mellitus during pregnancy and gestational diabetes are major concerns worldwide. These conditions may lead to the development of severe diabetic retinopathy during pregnancy or worsen pre-existing cases. Gestational diabetes also increases the risk of diabetes for both the mother and the fetus in the future. Understanding the prevalence, evaluating risk factors contributing to pathogenesis, and identifying treatment challenges related to diabetic retinopathy in expectant mothers are all of utmost importance. Pregnancy-related physiological changes, including those in metabolism, blood flow, immunity, and hormones, can contribute to the development or worsening of diabetic retinopathy. If left untreated, this condition may eventually result in irreversible vision loss. Treatment options such as laser therapy, intravitreal anti-vascular endothelial growth factor drugs, and intravitreal steroids pose challenges in managing these patients without endangering the developing baby and mother. This narrative review describes the management of diabetic retinopathy during pregnancy, highlights its risk factors, pathophysiology, and diagnostic methods, and offers recommendations based on findings from previous literature.

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Specialized Diagnostic Investigations to Assess Ocular Status in Hypertensive Diseases of Pregnancy

Cited by 2 publications

References 68 publications

Case-control study on ocular changes and ophthalmic Doppler velocimetric indices among preeclamptic and normotensive pregnant women in Ibadan, Nigeria

Case-control study on ocular changes and ophthalmic Doppler velocimetric indices among preeclamptic and normotensive pregnant women in Ibadan, Nigeria

Current Trends in Diagnosis and Treatment Approach of Diabetic Retinopathy during Pregnancy: A Narrative Review

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