Manifestasi Okular pada Preeklampsia
DOI:
https://doi.org/10.55175/cdk.v50i1.337Kata Kunci:
Eklampsia, manifestasi okular, preeklampsiaAbstrak
Preeklampsia merupakan sindrom yang dapat mengganggu fungsi berbagai sistem meliputi kardiovaskular, hepatorenal, hematologis, dan neurologis. Hampir separuh pasien preeklampsia-eklampsia mengalami gejala okular, yang memerlukan pemeriksaan oftalmologi lebih lanjut. Manifestasi okular cenderung ditemukan pada derajat preeklampsia yang lebih berat. Penglihatan kabur (blurred vision) merupakan gejala okular yang paling sering dilaporkan. Studi literatur ini membahas patofisiologi, implikasi klinis, dan penanganan yang tepat atas manifestasi okular terkait preeklampsia-eklampsia. Preeclampsia is a multisystem syndrome that affects cardiovascular, hepatorenal, hematologic, and neurologic systems. More than half preeclampsia-eclampsia patients’ experienced visual symptoms that may need further ophthalmologic examination. The ocular manifestation was shown to correspond with a more severe preeclamptic state. Blurred vision is the most common visual complaint. This review discusses pathophysiology, clinical implications, and treatment approach in preeclamptic patients with ocular manifestation.
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Myatt L, Roberts JM. Preeclampsia: Syndrome or disease ? Curr Hypertens Rep. 2015;17(11):83. doi: 10.1007/s11906-015-0595-4.
The American College of Obstetricians and Gynaecologists (ACOG). Gestational hypertension and preeclampsia: ACOG practice bulletin, number 222. Obstet Gynecol. 2020;135(6):237-60. doi: 10.1097/AOG.0000000000003891.
Perkumpulan Obstetri dan Ginekologi Indonesia, Himpunan Kedokteran Feto Maternal. Panduan nasional pelayanan kedokteran: Diagnosis dan tatalaksana preeklampsia. 2016 .pp. 6-10.
Ghavidel LA, Mousavi F, Bagheri M, Asghari S. Preeclampsia induced ocular change. Int J Women’s Health Reproduct Sci. 2018;6(2):123-6. doi: 10.15296/ijwhr.2018.20.
Indu B, Prasannakumary C, Prabhu PB, Babitha, PT Jyothy. Ocular manifestation in severe pregnancy induced hypertension. JMSCR. 2018;6(6):696-700. doi: 10.18535/jmscr/v6i6.115.
Chandran JR, Narayanan IB, Rajan J. Ocular manifestations: Are they significant in hypertensive disorders of pregnancy. J Obstet Gynaecol India. 2021;71(2):118-23. doi: 10.1007/s13224-020-01385-7.
Mushumbusi EF, Mafwiri MM, Sanyiwa AJ, Kisimbi SJ, Mosenene S, Padhan Dh, et al. Ocular manifestations among patients with preeclampsia and eclampsia at Muhimbili National Hospital: Magnitude and presentations. J Ophthalmol East Cent & S Afr. 2016;20(1):2-7.
Samra KA. The eye and visual system in preeclampsia/eclampsia syndrome: What to expect ? Saudi J Ophthalmol. 2013;27(1):51-3. doi:10.1016/j.sjopt.2012.04.003.
Mackensen F, Paulus WE, Max R, Ness T. Ocular changes during pregnancy. Dtsch Arztebl Int. 2014;111:567-76.
Prabhu TRB. Serious visual (ocular) complications in preeclampsia and eclampsia. J Obstet Gynaecol India. 2017;67(5):343-8. doi: 10.1007/s13224-017-0975-6.
Bakhda RN. Clinical study of fundus findings in pregnancy induced hypertension. J Family Med Prim Care. 2016;5(2):424-9. doi:10.4103/2249-4863.192364.
Jayashree MP, Niveditha RK, Kuntoji NG, Bhat V, Shravan GM5, Patil BA, et al. Ocular fundus changes in pregnancy induced hypertension – A case series study. J Clin Res Ophtalmol. 2018;5(2):37-41. doi: 10.17352/2455-1414.000054.
Andrada PV, Zamfir-Radu I, Liliana V, Monica C, Baroș A, Pricopie S, et al. Ocular posterior pole pathological modifications related to complicated pregnancy: A review. Rom J Ophthalmol. 2017;61(2):83-9. doi: 10.22336/rjo.2017.16.
Roos NM, Wiegman MJ, Jansonius NM, Zeeman GG. Visual disturbances in (pre)eclampsia. Obstet Gynecol Survey 2012;67(4):242-50. doi: 10.1097/OGX.0b013e318250a457.
Dinn RB, Harris A, Marcus PS. Ocular changes in pregnancy. Obstet Gynecol Survey 2003;58(2):137-44. doi: 10.1097/01.OGX.0000047741.79433.52.
Nagy ZZ. Review of the ophthalmic symptoms of preeclampsia. Developments in Health Sciences 2020;3(1):21-3. doi: 10.1556/2066.2020.00005.
Khanom R, Faridi J, Nur J, Akter S, Basu K. Ocular fundus changes in pregnancy induced hypertension. J Dhaka Med Coll. 2020;28(1):94-9.
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