ERDEM DİNÇ, Mustafa VATANSEVER, Özer DURSUN, Fatma Merve BOZKURT, Ayşe Ayça SARI, Ayça YILMAZ, Ufuk ADIGÜZEL, Özlem YILDIRIM, Mehmet Atila ARGİN

Evaluation of fundus findings in preeclampsia

Bu çalışmada preeklampsi hastalarındaki fundus muayene bulgularının değerlendirilmesi amaçlanmıştır. Haziran 2007-Şubat 2016 tarihleri arasında preeklampsi tanısıyla Mersin Üniversitesi Hastanesine yatırılan ve görme bulanıklığı nedeniyle konsülte edilen 45 hastanın fundus bulguları retrospektif olarak değerlendirildi. Çalışmaya dahil edilen hastaların yaş ortalaması 28.6 ± 6.18 yıl iken, ortalama gebelik haftası 32.95 ± 4.22 idi. Tüm hastaların ön segment muayenesi normaldi. Otuz beş hastanın fundus bulguları normal olarak değerlendirilirken, on (%22.2) hastada patolojik bulgular saptandı. Altı (%60) hastada tek ya da iki taraflı seröz retina dekolmanı izlendi. Ayrıca dört (%40) hastada retinal kanamalar ve eksüdasyonlar görüldü. Fundus bulgularına ek olarak beş (%11.11) hastada geri dönüşümlü posterior lökoensefolopati sendromu saptandı. Altı hasta normal vajinal yolla doğum yaparken otuz dokuz hasta sezaryen ile doğurtuldu. Doğum sonrası hastalarda seröz retina dekolmanı ve fundus bulgularının gerilediği izlendi. Sonuç: Preeklampsi multisistemik bir hastalıktır ve aynı zamanda görsel yollarıda etkileyebilmektedir. Preeklampsili hastalarda fotopsi, görme alanı defektleri, bulanık görme ve bazı olgularda ciddi görme kaybını da içeren görsel semptomlar gelişebilmektedir. Bulanık görme en sık rastlanan görsel şikayettir. Bu hastalarda hipertansif retinopati, eksüdatif retina dekolmanı ve kortikal körlük izlenebilmektedir. Ancak görme kaybıyla başvuran hastaların tamamının fundus muayenesinde patolojik bulgular izlenmemektedir. Preeklampsi ile ilişkili retinal bulgular genellikle ek bir tedavi ihtiyacı olmadan doğumla birlikte gerileme göstermektedir

Preeklampside fundus bulgularının değerlendirilmesi

In this study aimed to evaluate of the fundus examination findings in the patients with preeclampsia. Fundus findings of 45 patients hospitalized in Mersin University Hospital due to preeclampsia and consulted with blurred vision between June 2007 and February 2016 were evaluated retrospectively. The average age of patients was 28.6 ± 6.18 years and mean gestational age was 32.95 ± 4.22. Anterior segment examination was normal in all patients. The fundus findings of thirty five patients were assessed as normal, but pathological findings were detected in ten (%22.2) patients. Unilateral or bilateral serous retinal detachment was observed in six (%60) patients. Retinal hemorrhages and exudates were seen in four (%40) patients. In addition to the fundus findings reversible posterior leucoencephalopathy syndrome was detected in 5 patients. Six patients were delivered vaginally while thirty-nine patients with cesarean section. Serous retinal detachment and fundus findings regressed after delivery in patients. The preeclampsia syndrome is a multisystem disorder and it also can affect the visual pathways. Visual symptoms in preeclampsia include photopsia, visual field defects, blurred vision and, in severe cases, serious blindness. Blurred vision is the most common visual complaint. Hypertensive retinopathy, exudative retinal detachment and cortical blindness can be seen in patients. But in fundus examination pathological findings are not observed in all of the patients admitted with vision loss. Preeclampsia related retinal findings generally resolves after delivery and no additional treatment is required

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