Retinal Manifestations During Severe Pre-Eclampsia / Eclampsia at Gabriel Toure Chu
DOI:
https://doi.org/10.14738/ejas.1403.2403Keywords:
Preeclampsia, Eclampsia, Hypertensive Retinopathy, PregnancyAbstract
Introduction: Preeclampsia is a major public health concern. It is a systemic disorder that can affect multiple organs, including the eyes. The objective of this study was to assess retinal manifestations in severe preeclampsia/eclampsia in order to highlight the importance of ophthalmic monitoring in patients with this condition. Materials and Methods: We conducted a prospective study involving 342 patients diagnosed with preeclampsia or eclampsia, admitted between September 2022 and February 2023, over a 5-month period, in two university teaching hospitals in Bamako. Results: The mean age of the patients was 25.62 ± 7.062 years. Most of them (74.9%) had no prior history of arterial hypertension. In nearly 70% of cases, the pregnancies were not at term at the onset of preeclampsia or eclampsia. Blurred vision was the most frequently reported ophthalmic symptom. Retinal abnormalities were observed in 48.2% of right eyes and 47.1% of left eyes, including: 4 cases (2 OD, 2 OS) of serous retinal detachment; 2 cases (1 OD, 1 OS) of hypertensive choroidopathy; 1 case of left-eye branch retinal vein occlusion (BRVO) and 18 cases (10 OD, 8 OS) of grade III hypertensive retinopathy with optic disc edema. Discussion: The presence of retinal lesions appears to be a marker of severity in eclampsia, and their early detection enables prompt and appropriate management, thereby improving maternal and fetal outcomes. Conclusion: Fundus examination should be routinely included in the management of preeclampsia and eclampsia.
References
Diallo B. Evaluation des connaissances, attitudes et pratiques des hommes du district sanitaire de Diéma face à l’éclampsie. Mali Sante Publique 2021;11:29–33. https://doi.org/10.53318/msp.v11i1.1889.
Diallo JW, Méda N, Ahnoux-Zabsonré A, Ouattara S, Yanogo A, Tougouma SJB, et al. [Ocular manifestations in severe pre-eclampsia or eclampsia in Souro Sanou University Hospital in Bobo Dioulasso]. Pan Afr Med J 2015;21:49. https://doi.org/10.11604/pamj.2015.21.49.6746.
Samaké BM, Traoré M, Goita L, Niani M, Traoré Y, Teketé I, et al. [Epidemiogic and clinical profile of severe pre-eclampsia at the university hospital of Gabriel Touré]. Mali Med 2011;26:5–7.
N’Diaye K, Coulibaly L, Keïta SB, Sylla A, Diarra H. Guide de la mise en oeuvre et des bonnes pratiques de pré éclampsie et éclampsie au Mali 2017.
Kembou Feukou F. Hypertension artérielle et grossesse au CHU Gabriel Touré 2014. Scholar Publishing
Guindo S. Pronostic materno-foetal de l’éclampsie dans le service de gynécologie obstétrique de l’hôpital Nianankoro FOMBA-Ségou 2014.
Cisseé CT, Faye Dieme ME, Ngabo D, MBaye M, Diagne PM, Moreau JC. Indications thérapeutiques et pronostic de l’éclampsie au CHU de Dakar n.d.
Tercanli S, Surbek D, Lapaire O, Vial Y, Hodel M, Burkhardt T, et al. Spécification des risques de prééclampsie au 1 er trimestre. SSGO 2019.
Abu Samra. The eye and visual system in the preeclampsia/eclampsia syndrome: What to expect? Saudi J Ophthalmol 2013;27:51–3. https://doi.org/10.1016/j.sjopt.2012.04.003.
Baragou S, Goeh-Akue E, Pio M, Afassinou YM, Atta B. Hypertension artérielle et grossesse à Lomé (Afrique sub-saharienne) : aspects épidémiologiques, diagnostiques et facteurs de risque. Annales de Cardiologie et d’Angéiologie 2014;63:145–50. https://doi.org/10.1016/j.ancard.2014.05.006.
Ngwanou Nana A, Koki G, Épée, Esiene A, Mbu R, Bella AL. Les Lésions Rétiniennes au Cours de la Prééclampsie/éclampsie et leur Valeur Prédictive sur le Devenir de la Grossesse. Health Sci Dis 2015;16.
Sankaré Y. Aspect epidemio-clinique des atteintes oculaires chez les pré-éclamptiques et/ou éclamptiques à l’hôpital Sominé Dolo de Mopti. Thesis. Université des Sciences, des Techniques et des Technologies de Bamako, 2020.
Goita S. Aspect Epidemio-Clinique de la pré-éclampsie au centre de santé de Référence de Nioro du Sahel. Thesis. USTTB, 2021.
Sogoba S. Profil épidémiologique et facteurs pronostics de la prééclampsie sévère au service de gynecologie-obstetrique du centre de santé de référence de la commune V du district de Bamako. Thesis. USTTB, 2019.
Djigandé N. Pré éclampsie et éclampsie dans le centre de sante de référence de Koutiala : Aspects epidemio cliniques thérapeutiques et pronostic. Thesis. Université des Sciences, des Techniques et des Technologies de Bamako, 2020.
Diabaté O dit D. Dépistage de la rétinopathie hypertensive sur grossesse au csref de la commune VI de BAMAKO. Thesis. USTTB, 2023.
Elsevier. Item 221 – Hypertension artérielle de l’adulte. Elsevier Connect n.d. https://www.elsevier.com/fr-fr/connect/etudes-de-medecine/item-221-hypertensionarterielle-de-ladulte (accessed April 10, 2023).
Buambo-Bamanga S, Ngbaler R, Makoumbou P, Ekoundzola J. L’eclampsie au centre hospitalier et Universitaire de Brazzaville, Congo. Clinics in Mother and Child Health 2009.
Keita D. Prise en charge des hypertensions artérielles de la grossesse au CHUME “LeLuxembourg” : Pronostic. 2019.
Pottecher T, Launoy A. Réanimation des formes graves de pré-éclampsie. n.d.
Albert C, Ingrid US, Sharon F. Ocular Changes During Pregnancy. American Academy of Ophthalmology 2012.
Magley M, Hinson MR. Eclampsia. StatPearls, Treasure Island (FL): StatPearls Publishing; 2022.
RAJAONA RA, RASOLONJATOVO EC, RASOANIRINA V, RAOBELA L, ANDRIANTSOA VR, HERY RA. Aspects épidémio-cliniques des manifestations oculaires de la prééclampsie et de l’éclampsie à Antananarivo. RARMUT 2015.
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