EPIDEMIOCLINICAL AND EVOLUTIONARY FEATURES OF OCULAR MANIFESTATIONS DURING PRE-ECLAMPSIA AND ECLAMPSIA AT THE YOPOUGON UNIVERSITY HOSPITAL
DOI:
https://doi.org/10.29121/granthaalayah.v11.i9.2023.5247Keywords:
Manifestations, Ocular Eclampsia, Pre-eclampsiaAbstract [English]
Introduction: Pre-eclampsia and eclampsia are obstetric emergencies involving maternal and foetal vital prognosis. They are providers of ocular complications.
The aim of our study was to highlight the epidemioclinical and evolutionary features of these ocular lesions in pre-eclamptic and eclamptic patients.
Methods: This was a prospective cross-sectional study with a descriptive purpose which was carried out over a period of 5 months from March 1 to July 31, 2021. It included all hospitalized pre-eclamptic and eclamptic patients.
Results: We collected 33 cases of pre-eclampsia and eclampsia out of a total of 325 pregnant women that is a hospital prevalence of 9.37%. The average age of our patients was 29 years with extremes ranging from 17 to 45 years. Eclampsia accounted for 57.57% of the diagnosis and pre-eclampsia 42.42%. Visual acuity was normal in 42.42% of cases. Hypertensive retinopathy was detected in 63.63% of cases. The most severe fundus lesions were more common in pregnant women with severe pre-eclampsia and eclampsia. Regression of fundus lesions was visible in 79.17% of cases.
Conclusion: Ocular lesions occur mainly in severe cases of pre-eclampsia and their research would improve their management.
Downloads
References
Chaoui, A., Tyane, M., & Belouali, R. (2002). Prise En Charge De La Pré Éclampsie Et De L'éclampsie. 2eme Conférence Nationale Du Consensus Maroc, Marrakech Les 19, et a1 avril, 20.
Crowther, C. (1990). Magnesium Sulphate Versus Diazepam in the Management of Eclampsia : A Randomized Controlled Trial. Br J Obstet Gynaecol, 97(2), 110-117. https://doi.org/10.1111/j.1471-0528.1990.tb01735.x. DOI: https://doi.org/10.1111/j.1471-0528.1990.tb01735.x
Duckitt, K., & Harrington, D. (2005, January 27). Risk Factors for Preeclampsia at Antenatal Booking: Systemic Review of Controlled Studies. 12, 330-565. https://doi.org/10.1136/bmj.38380.674340.E0. DOI: https://doi.org/10.1136/bmj.38380.674340.E0
Edouard, D. (2003). Anesthésie-Réanimationn. 36-980-A-10, Obstétrique, Encycl. Med. Chir. 5-071-B-30, 1-5.
Julius, A. S., & Bosco, M. D. (1961). Spontaneous Nontraumatic Retinal Detachment in Pregnancy. Am J Obstet Gynecol 82(1), 208-212. https://doi.org/10.1016/S0002-9378(16)36116-6. DOI: https://doi.org/10.1016/S0002-9378(16)36116-6
Lucas, M. J., Leveno, K. J., & Cunningham, F. J. (1995). A Comparaison of Magnesium Sulfate with Phenytoine for the Prevention of Eclampsia. N Engl J Med, 333, 201-205. https://doi.org/10.1056/NEJM199507273330401. DOI: https://doi.org/10.1056/NEJM199507273330401
Mathew, R., Raj, R. S., & Sudha, P. (2003). Late Post-Partum Eclampsia without Prodromal. India, 51 (4), 539-40.
Miguil, M., Salmi, S., Mouhaoui, M., & El Youssoufi, S. (2003). Aspects Épidémiologiques Et Pronostiques De L'éclampsie. Cah Anesthesiol, 51(3), 177-80.
Mojadidi, Q., & Thompson, R.J. (1973), Five Years 'Experience with Eclampsia. S Med J, 66, 414-6. https://doi.org/10.1097/00007611-197304000-00004. DOI: https://doi.org/10.1097/00007611-197304000-00004
Moshiri, A., Brown, J., & Sunness, J. R. (2013). Pregnancy-Related Diseases (Ed. 5th). London : WB, Saunders, 2, 1571-1582. https://doi.org/10.1016/B978-1-4557-0737-9.00092-8. DOI: https://doi.org/10.1016/B978-1-4557-0737-9.00092-8
Sabiri, B., Moussalit, A., Salmi, S., EL Youssoufi, S., & Miguil, M. (2007). L'éclampsie Du Post Partum : Épidémiologie Et Pronostic. J Gynéco Obst Et De Biol De La Reproduction, 36(3), 276-280. https://doi.org/10.1016/j.jgyn.2006.12.025. DOI: https://doi.org/10.1016/j.jgyn.2006.12.025
Veltkamp, R., Kupsch, A., Polasek, J ., Yousry, T. A., & Pfister, H. W. (2000). Late Onset Post-Partum Eclampsia without Pre-Eclampsia Prodromi: Clinical and Neuroradiological Presentation in Tow Patients. J Neur Surg Psy, 69(6), 824-827. https://doi.org/10.1136/jnnp.69.6.824. DOI: https://doi.org/10.1136/jnnp.69.6.824
Vigil-De Garcia, P., & Ortega-Paz, L. (2011 June 29). Retinal Detachment in Association with Preeclampsia, Eclampsia, and Help Syndrome. Int J Gynaecol Obstet, 114(3), 223-225. https://doi.org/10.1016/j.ijgo.2011.04.003. DOI: https://doi.org/10.1016/j.ijgo.2011.04.003
Zeeman, G. G., Fleckenstein, J. L., Cunningham, F. G., & Twickler, M. D. (2004). Cerebral Infarction in Eclampsia. Am J Obstet Gynecol, 190(3), 714-720. https://doi.org/10.1016/j.ajog.2003.09.015. DOI: https://doi.org/10.1016/j.ajog.2003.09.015
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 Sowagnon Thierry Yves Constant, Ouattara Yves, Kouassi-Rebours Aya Colette, Kouaï Bi Tah Epiphane, Appia Gilles Beda, Koné Kpatchignain
This work is licensed under a Creative Commons Attribution 4.0 International License.
With the licence CC-BY, authors retain the copyright, allowing anyone to download, reuse, re-print, modify, distribute, and/or copy their contribution. The work must be properly attributed to its author.
It is not necessary to ask for further permission from the author or journal board.
This journal provides immediate open access to its content on the principle that making research freely available to the public supports a greater global exchange of knowledge.