Abstract
Lupton et al1 get our applause for their innovative study on retinal microvascular alterations and subsequent development of preeclampsia. Changes in retinal calibers are not only overt in the early stages of essential hypertension as shown previously by our group2 but are now for the first time implicated in the multifaceted hypertensive disorder of preeclampsia. However, data on blood pressure (BP) levels and unadjusted for BP retinal calibers are not provided by the authors. Although normotensive until 20 weeks of gestation, women who subsequently develop preeclampsia may lack the BP drop normally observed during first weeks of pregnancy and exhibit prehypertensive BP levels. Indeed, normal but higher BP levels …
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