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THE SIGNIFICANCE OF LIPOPROTEIN DEPOSITION IN THE RETINA OF PREGNANT WOMEN AS A MARKER OF PREECLAMPSIA, IUGR AND OTHER RELATED MATERNAL AND FETAL COMPLICATIONS | ||
| IRAQI JOURNAL OF MEDICAL SCIENCES | ||
| Article 1, Volume 4, Issue 2, 2005, Pages 162-168 | ||
| Authors | ||
| Akram Sadik; Inas T. Ahmad; Wisam A. Ismaeel | ||
| Abstract | ||
| Background: Preeclampsia is a disorder characterized by three main clinical features, these are hypertension, edema and proteinuria. Fibrin deposition in various tissues can be easily demonstrated by microscopical examination, however this requires a biopsy. Fortunately, the eye is the mirror of the body. Objective: To detect the deposition of fibrin in the eyes of pregnant women within the first two weeks of the third trimester before the women become preeclamptic, through simple ophthalmoscopy Methods: 42 primigravida pregnant women were chosen as a study group, which include those women in whom hard exudate (Lipoprotein deposition) was detected at 28-30 weeks of gestation in their retina through simple ophthalmoscopy examination. While another control group of 46 women were selected in whom examination of the eye for hard exudate was negative. Both groups were followed routinely in the third trimester and screened for any complication, which may develop. Results: The incidence of preeclampsia, oligohydramnios, placenta abruption was significantly higher in the study group than in the control group, 45.23% vs 13.04, 28.57% vs 2.17 % and 16.66 % vs 2.17 % respectively. While the incidence of IUGR and perinatal death was still higher in the study group than in the control group 28.57 % vs 2.17 % and 9.52 % vs 0.00 %. Conclusion: Simple ophthalmoscopic examination of the pregnant women eyes for the presence of hard exudate (Lipoprotein deposition) may be useful in sorting high-risk women for preeclampsia and its related complications. Key words ; Preeclampsia, hard exudate, retina, lipoprotein | ||
| Keywords | ||
| Preeclampsia; hard exudate; Retina; lipoprotein | ||
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