Bakhda Rahul Navinchandra
Consultant Ophthalmologist, Ex-Resident, M & J Western Regional Institute of Ophthalmology, Ahmedabad 380016, Gujarat, India.
Diseases. 2016 Apr 22;4(2):19. doi: 10.3390/diseases4020019.
This review describes specialized diagnostic investigations to assess ocular status in hypertensive diseases of pregnancy. Ocular assessment can aid in early detection for prompt multidisciplinary treatment, obstetric intervention and follow-up. The investigations accurately predict the possible causes of blindness in hypertensive diseases of pregnancy. The investigations include fluorescein angiography, ophthalmodynamometry, fluorophotometry, imaging modalities, OCT, ultrasonography, doppler velocimetry and blood chemistry analysis. The review includes a summary of imaging techniques and related recent developments to assess the neuro-ophthalmic aspects of the disease. The imaging modalities have been instrumental in understanding the complex neuropathophysiological mechanisms of eclamptic seizures. The importance of blood chemistry analysis in hypertensive diseases of pregnancy has been emphasized. The investigations have made a significant contribution in improving the standards of antenatal care and reducing maternal and fetal morbidity and mortality.
本综述描述了用于评估妊娠期高血压疾病眼部状况的专门诊断检查。眼部评估有助于早期发现，以便及时进行多学科治疗、产科干预和随访。这些检查能准确预测妊娠期高血压疾病导致失明的可能原因。检查包括荧光素血管造影、眼血流动力学测量、荧光光度测定、成像方式、光学相干断层扫描（OCT）、超声检查、多普勒测速和血液化学分析。本综述总结了用于评估该疾病神经眼科方面的成像技术及相关最新进展。成像方式有助于理解子痫发作的复杂神经病理生理机制。已强调了血液化学分析在妊娠期高血压疾病中的重要性。这些检查对提高产前护理标准以及降低母婴发病率和死亡率做出了重大贡献。
