Создание алгоритма прогнозирования сосудистой ретинальной патологии у женщин после перенесенной преэклампсии и оценка его эффективности

Abstract

Purpose. On the basis of previously identified potential predictors, to develop an algorithm for a prediction of vascular retinal pathology in women who have previously suffered from pregnancy complicated by preeclampsia. Material and methods. In the study there was conducted A dynamic observation of 83 women (133 eyes), who suffered from preeclampsia, ending in childbirth. The age of patients at the time of pregnancy ranged from 18 to 45 years, mean 31.9±6.1 years. In addition to the standard eye examination, all women underwent a study of chorioretinal hemodynamics and morphometric parameters of the macular area. Results. Based on previously revealed potential predictors, three variants of the algorithm for prediction of vascular retinal pathology in women after preeclampsia were developed. Algorithms can be considered reasonable and effective. They can be recommended to clinicians for the selection of women suffered from preeclampsia in the group with a risk of vascular retinal pathology development in long-term periods after childbirth. Conclusion. Three variants of the prognostic algorithm of risk for the formation of vascular retinal pathology in women after suffered preeclampsia have been developed, for periods up to 10 years. They differ from each other in various sets of predictors and are oriented, respectively, for the use in the following conditions: specialized ophthalmologic clinic, ophthalmology office of the out-patient clinic and obstetriciangynecologists.