OPHTHALMOLOGICAL DISORDERS IN HYPERTENSIVE COMPLICATIONS OF PREGNANCY

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

• преэклампсия
• отслойка сетчатки
• хориоретинопатия
• оптическая когерентная томография глаза
• допплерография сосудов глаза