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Comprehensive Ophthalmology Free Papers Table 8 3rd Trimester INTRA EYE F-ratio MEAN SD MEAN SD P-value OCULAR RE 82.828 11.620 0.969 12.720 1.095 0.006 PRESSURE LE 115.872 11.240 0.906 12.760 0.768 < 0.001 During 3rd trimester the mean IOP in RE is 11.620 ± 0.969; in left eye it is 11.240 ± 0.906. In PIH the mean IOP in RE is 12.720 ± 1.095; in LE it is 12.760 ± 0.768. The estimated P value for third trimester and PIH IOP in right and left eye is 0.006 and < 0.001 respectively. Here the IOP decreased In 3rd trimester when compared with PIH. Table 9 3rd Trimester PIH Control INTRA EYE F-ratio MEAN SD MEAN SD P-value OCULAR RE 82.828 11.620 0.969 15.893 1.201 < 0.001 PRESSURE LE 115.872 11.240 0.906 16.290 1.006 < 0.001 During 3rd trimester the mean IOP in RE is 11.620 ± 0.969; in left eye it is 11.240 ± 0.906. In control the mean IOP in RE 15.893 ± 1.201; in left eye it is 16.290 ± 1.006. Here the mean IOP decreased in 3rd trimester when compared with control group. The estimated P value for 3rd trimester and control group in both the eyes is < 0.001. There is significant decrease in IOP. Table 10 PIH CONTROL INTRA EYE F-ratio MEAN SD MEAN SD P-value OCULAR RE 82.828 12.720 1.095 15.893 1.201 < 0.001 PRESSURE LE 115.872 12.760 0.768 16.290 1.006 < 0.001 In PIH the mean IOP in RE is 12.720 ± 1.095; in LE it is 12.760 ± 0.768. In control the mean IOP in RE 15.893 ± 1.201; in left eye it is 16.290 ± 1.006. Here the mean IOP decreased in PIH when compared with control group. The estimated P value for PIH and control group in both the eyes is < 0.001. There is significant decrease in IOP. A case of uveitis was observed during 24 weeks gestational age presented with chronic non-infectious anterior uveitis with inferiorly distributed brown coloured keratic precipitates, mild flare, and 2+ cells (i.e. 10-20 cells/cu mm). She was instructed not to use any medication. Patient was followed monthly. Uveitis activity gradually decreased during the course of pregnancy and flared up 2 months after postpartum period. This shows that pregnancy has a beneficial effect on uveitis. 453
70th AIOC Proceedings, Cochin 2012 Among 15 cases of PIH, we found two cases (13.3%) presenting with headache and pedal edema for 6 days. The blood pressure was above 140/100 mmHg and vision was 6/6 for both of the cases. Anterior segment examination was normal. Fundus picture showed hypertensive retinopathy changes like moderate arteriolar narrowing and arteriovenous crossing changes i.e. deflection of veins at AV crossings (Salu’s sign). Diagnosed as Grade ΙΙ Hypertensive retinopathy in both cases. Two cases presented with serous retinal detachment. The clinical manifestations of these women are presented here. Patient 1 Patient 2 Age (years) 22 25 Gestational age at the 32 weeks 34 weeks time of admission Blood pressure 160/120 mmHg 180/130 mmHg Visual acuity at the time RE-6/18 RE-6/12 of presentation LE6/60 LE-6/6 RE –localized exudative Retinal edema surrounding Ophthalmologic detachment inferior to macula the macula and small serous examination LE- localized exudative retinal detachment inferior detachment involving macula and temporal to macula excluding fovea, hemorrhagic in right eye is present. spot inferior to macula Left eye is normal Visual acuity in RE-6/6 RE-6/6 postpartum period LE-6/9 LE-6/6 3 weeks postpartum Fundus picture during Retinal detachment Complete recovery is postpartum period was no longer present present without any residual changes within a month of postpartum period Central Serous Retinopathy Serous Retinal Detachment 454
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