Main Article Content
Abstract
Examination of the organ of vision can expand the possibilities of diagnosing hypertensive complications of pregnancy.
The aim is to study ophthalmological disorders in hypertensive complications of pregnancy.
The paper considers physiological changes in the organ of vision during pregnancy, possible pathological changes against the background of pre-existing and emerging eye diseases during pregnancy, ophthalmological changes in hypertensive complications and preeclampsia, describes the possibilities of diagnosing these conditions in modern ophthalmology.
Endothelial dysfunction plays a key role in the pathogenesis of vascular disorders in preeclampsia. Preeclampsia may be accompanied by hemorrhagic and ischemic retinal infarcts, retinal pigment epithelium detachment, corkscrew-like tortuosity of arterioles on the periphery of the retina, retinal detachment, edema of the optic nerve disc, vitreous hemorrhages, lesions of the cerebral cortex in the visual centers, which may resolve with improvement in general condition.
In some women, retinal detachment and diabetic retinopathy are late complications of preeclampsia. Optical coherence tomography of the eye, Dopplerography of the central retinal artery, orbital artery, posterior short ciliary arteries can be used to diagnose chorioretinal complications.
Keywords
Article Details
Information about financing and conflict of interests
The authors declare that they have no apparent or potential conflicts of interest related to the publication of this article.
This work is licensed under a Creative Commons Attribution 4.0 License.
How to Cite
References
Stern EM, Blace N. Ophthalmic Pathology Of Preeclampsia. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan
Garg P, Aggarwal P. Ocular changes in pregnancy. Nepal J Ophthalmol. 2012; 4(1): 150-161. DOI: 10.3126/nepjoph.v4i1.5867
Dinn RB, Harris A, Marcus PS. Ocular changes in pregnancy. Obstet Gynecol Surv. 2003; 58(2): 137-144. DOI: 10.1097/01.OGX.0000047741.79433.52
Roos NM, Wiegman MJ, Jansonius NM, Zeeman GG. Visual disturbances in (pre)eclampsia. Obstet Gynecol Surv. 2012; 67(4): 242-250. DOI: 10.1097/OGX.0b013e318250a457
Rzeszotarska A, Szczapa-Jagustyn J, Kociecki J. Ophthalmological problems in pregnancy – a review. Ginekol Pol. 2020; 91(8): 473-477. DOI: 10.5603/GP.2020.0080
Grant AD, Chung SM. The eye in pregnancy: ophthalmologic and neuro-ophthalmologic changes. Clin Obstet Gynecol. 2013; 56(2): 397-412. DOI: 10.1097/GRF.0b013e31828f273c
Androudi S, Ekonomidis P, Kump L, Praidou A, Brazitikos PD. OCT-3 study of serous retinal detachment in a preeclamptic patient. Semin Ophthalmol. 2007; 22(3): 189-191. DOI: 10.1080/08820530701501469
Ge G, Zhang Y, Zhang M. Pregnancy-induced hypertension and retinopathy of prematurity: a meta-analysis. Acta Ophthalmol. 2021; 99(8): e1263-e1273. DOI: 10.1111/aos.14827
Ochinciuc R, Munteanu M, Baltă G, Baltă F. Central serous chorioretinopathy in pregnancy. Rom J Ophthalmol. 2022; 66(4): 382-385. DOI: 10.22336/rjo.2022.68
Poon LC, Magee LA, Verlohren S, Shennan A, von Dadelszen P, Sheiner E, et al. A literature review and the best practice advice for second and third trimester risk stratification, monitoring, and management of pre-eclampsia. Int J Obstet Gynecol. 2021; 154(S1): 3-31. DOI: 10.1002/ijgo.13763
Belotserkovtseva LD, Kovalenko LV, Pankratov VV, Zinin VN. Pathogenetic Approach to Early Preeclampsia and the Feasibility of Pregnancy Prolongation. General Reanimatology. 2022; 18(2): 37-44. Russian (Белоцерковцева Л.Д., Коваленко Л.В., Панкратов В.В., Зинин В.Н. Ранняя преэклампсия и возможность пролонгирования беременности с точки зрения патогенетического подхода //Общая реаниматология. 2022. Т. 18, № 2. С. 37-44). DOI: 10.15360/1813-9779-2022-2-37-44
Chau FY, Pimentel MC, Bhagat N, Lim JI. Preeclampsia/eclampsia associated retinopathy. Am Acad Ophthalmol. 2022
Yagel S, Cohen SM, Goldman-Wohl D. An integrated model of preeclampsia: a multifaceted syndrome of the maternal cardiovascular-placental-fetal array. Am J Obstet Gynecol. 2022; 226(2S): S963-S972. DOI: 10.1016/j.ajog.2020.10.023
Rana S, Lemoine E, Granger JP, Karumanchi S. Preeclampsia: pathophysiology, challenges, and perspectives. Circ Res. 2019; 124(7): 1094-1112. DOI: 10.1161/CIRCRESAHA.118.313276
Vlasov TD, Nesterovich II, Shimanski DA. Endothelial dysfunction: from the particular to the general. Return to the "Old Paradigm"? Regional blood circulation and microcirculation. 2019; 18(2): 19-27. Russian (Власов Т.Д., Нестерович И.И., Шиманьски Д.А. Эндотелиальная дисфункция: от частного к общему. Возврат к «старой парадигме»? //Регионарное кровообращение и микроциркуляция. 2019. Т. 18, № 2. С. 19-27). DOI: 10.24884/1682-6655-2019-18-2-19-27
Moss HE. Neuro-ophthalmology and Pregnancy. Continuum (Minneap Minn). 2022; 28(1): 147-161. DOI: 10.1212/CON.0000000000001059
Nagy ZZ. Review of the ophthalmic symptoms of preeclampsia. DHS. 2020; 3(1): 21-23. DOI: 10.1556/2066.2020.00005
Bartczak A, Kraśnicki P, Urban R, Laudaiński T, Mariak Z. Bilateral serous retinal detachment in preeclampsia-a case report. Klin Oczna. 2014; 116(1): 21-23
Soma-Pillay P, Pillay R, Wong TY, Makin JD, Pattinson RC. The effect of pre-eclampsia on retinal microvascular caliber at delivery and post-partum. Obstet med. 2018; 11(3): 116-120. DOI: 10.1177/1753495X17745727
He Xinyi, Ji Yimei, Yu Meiting, Tong Yuhua. Chorioretinal alterations induced by preeclampsia. J Ophthalmol. 2021; 2021: 8847001. DOI: 10.1155/2021/8847001
Kolenko OV, Sorokin EL, Fil’ AA, Pomytkina NV. Vascular complications of the eye in the late postpartum period of postponed preeclampsia. Fyodorov Journal of Ophthalmic Surgery. 2020; 1: 77-82. Russian (Коленко О.В., Сорокин Е.Л., Филь А.А., Помыткина Н.В. Сосудистые осложнения глаза в отдаленные сроки после перенесенной преэклампсии //Офтальмохирургия. 2020. № 1. С. 77-82.) DOI: 10.25276/0235-4160-2020-1-77-82
Auger N, Fraser W, Paradis G, Healy-Profitos J, et al. Preeclampsia and long-term risk of maternal retinal disorders. Obstet Gynecol. 2017; 129(1): 42-49. DOI: 10.1097/AOG.0000000000001758
Auger N, Rheaume M-A, Paradis G, Healy-Profitos J, et al. Preeclampsia and the risk of cataract extraction in life. Am J Obstet Gynecol. 2017; 216(4): 417. DOI: 10.1016/j.ajog.2016.11.1043
Kolenko OV, Sorokin EL, Hodzhaev NS, Pomytkina NV, Chizhova GV, Pashentsev Y.E., Kolenko L.E. Role of Gestational Hypertension and Preeclampsia as Risk Factors for Formation of Vascular Disorders of Retina in Remote Period after Delivery. Ophthalmology in Russia. 2020; 17(3): 389-397. Russian (Коленко О.В., Сорокин Е.Л., Ходжаев Н.С., Помыткина Н.В., Чижова Г.В., Пашенцев Я.Е., Коленко Л.Е. Роль гестационной артериальной гипертензии и преэклампсии как факторов риска формирования сосудистой патологии сетчатки в отдаленные сроки после родов //Офтальмология. 2020. Т. 17, № 3. С. 389-397.) DOI: 10.18008/1816-5095-2020-3-389-397
Evcimen Y, Onur IU, Cengiz H, Yigit FU. Choroidal thickness in preeclampsia. Curr Eye Res. 2020; 45(2): 228. DOI: 10.1080/02713683.2019.1673435
Lee CS, Choi EY, Lee M, Kim H, Chung H. Serous retinal detachment in preeclampsia and malignant hypertension. Eye (Lond). 2019; 33(11): 1707-1714. DOI: 10.1038/s41433-019-0461-8
Kalafat E, Laoreti A, Khalil A, Da Silva Costa F, Thilaganathan B. Ophthalmic artery Doppler for prediction of preeclampsia: systematic review and meta-analysis. Ultrasound Obstet Gynecol. 2018; 51(6): 731-737. DOI: 10.1002/uog.19002
Gonser M, Vonzun L, Ochsenbein-Kolble N. Ophthalmic artery Doppler in prediction of pre-eclampsia: insights from hemodynamic considerations. Ultrasound Obstet Gynecol. 2021; 58(1): 145-147. DOI: 10.1002/uog.23665
Nicolaides KH, Sarno M, Wright A. Ophthalmic artery doppler in the prediction of preeclampsia. Am J Obstet Gynecol. 2022; 226(2S): S1098-S1101. DOI: 10.1016/j.ajog.2020.11.039
Brusse IA, van den Berg CB, Duvekot JJ, Cipolla MJ, Steegers EAP, Visser GH. Visual evoked potentials in women with and without preeclampsia during pregnancy and postpartum. J Hypertens. 2018; 36(2): 319-325. DOI: 10.1097/HJH.0000000000001521