EPIDEMIOCLINICAL AND EVOLUTIONARY FEATURES OF OCULAR MANIFESTATIONS DURING PRE-ECLAMPSIA AND ECLAMPSIA AT THE YOPOUGON UNIVERSITY HOSPITAL

Abstract

Introduction: Pre-eclampsia and eclampsia are obstetric emergencies involving maternal and foetal vital prognosis. They are providers of ocular complications.The aim of our study was to highlight the epidemioclinical and evolutionary features of these ocular lesions in pre-eclamptic and eclamptic patients.Methods: This was a prospective cross-sectional study with a descriptive purpose which was carried out over a period of 5 months from March 1 to July 31, 2021. It included all hospitalized pre-eclamptic and eclamptic patients.Results: We collected 33 cases of pre-eclampsia and eclampsia out of a total of 325 pregnant women that is a hospital prevalence of 9.37%. The average age of our patients was 29 years with extremes ranging from 17 to 45 years. Eclampsia accounted for 57.57% of the diagnosis and pre-eclampsia 42.42%. Visual acuity was normal in 42.42% of cases. Hypertensive retinopathy was detected in 63.63% of cases. The most severe fundus lesions were more common in pregnant women with severe pre-eclampsia and eclampsia. Regression of fundus lesions was visible in 79.17% of cases.Conclusion: Ocular lesions occur mainly in severe cases of pre-eclampsia and their research would improve their management.