A cross-sectional study on the incidence of retinal changes and its correlation with variables like blood pressure, liver function tests, kidney function tests, proteinuria, and pedal edema in patients of pregnancy-induced hypertension in a rural setting

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dc.contributor.authorSingh, Sonalien_US
dc.contributor.authorChauhan, Shantanu Sen_US
dc.contributor.authorRanjan, Ravien_US
dc.date.accessioned2023-08-25T06:34:28Z
dc.date.available2023-08-25T06:34:28Z
dc.date.issued2022-09
dc.description.abstractPurpose: Pregnancy?induced hypertension is a multisystem disorder that occurs after 20 weeks of pregnancy usually in primigravidas and is characterised by proteinuria, pedal edema, hypertension, and abnormal liver and kidney function tests. Since there exists a close relationship between retinal, cerebral, and renal vessels, fundoscopy gives the opportunity of observing the changes in the vascular tree. Methods: We conducted a study on 203 pregnant females over a period of 1.5 years in the rural population of North India. We recorded the baseline data from the patient files, including the biochemical investigations, and conducted a fundoscopic examination of all patients included in the study, and correlation of various variables was established. Results: Out of 203 patients (403 eyes), 60% were primigravidas of mean age 25.71 ± 4.46 years with the mean duration of pregnancy being 36 weeks. The mean systolic and diastolic blood pressure were160 and 101 mmHg, respectively. There was no significant correlation was seen of proteinuria with eclampsia and the fundus findings. But there was a significant correlation between proteinuria and pedal edema and between the fundus findings and deranged LFT and KFT values. Relationship between the variables was calculated by using Chi?square and Fisher’s exact test. A P value < 0.05 was taken as significant. Conclusion: Hypertension in pregnancy is the major concern of public health issue worldwide. With proper understanding of the correlating factors such as fundus changes which are directly correlated with whole bo dy vascular changes, which might affect the fetal growth, we can easily predict the outcome and can take appropriate actions as early as possibleen_US
dc.identifier.affiliationsDepartment of Ophthalmology, UPUMS, Saifai, Etawah, Uttar Pradesh, Indiaen_US
dc.identifier.affiliationsDepartment of Ophthalmology, Maulana Azad Medical College, New Delhi, Indien_US
dc.identifier.citationSingh Sonali, Chauhan Shantanu S, Ranjan Ravi. A cross-sectional study on the incidence of retinal changes and its correlation with variables like blood pressure, liver function tests, kidney function tests, proteinuria, and pedal edema in patients of pregnancy-induced hypertension in a rural setting. Indian Journal of Ophthalmology. 2022 Sep; 70(9): 3335-3340en_US
dc.identifier.issn1998-3689
dc.identifier.issn0301-4738
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/224575
dc.languageenen_US
dc.publisherAll India Ophthalmological Societyen_US
dc.relation.issuenumber9en_US
dc.relation.volume70en_US
dc.source.urihttps://doi.org/10.4103/ijo.IJO_900_21en_US
dc.subjectKidney Function Testen_US
dc.subjectliver function testen_US
dc.subjectpedal edemaen_US
dc.subjectpreeclampsiaen_US
dc.subjectproteinuriaen_US
dc.titleA cross-sectional study on the incidence of retinal changes and its correlation with variables like blood pressure, liver function tests, kidney function tests, proteinuria, and pedal edema in patients of pregnancy-induced hypertension in a rural settingen_US
dc.typeJournal Articleen_US
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