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Comprehensive Ophthalmology Free Papers - aioseducation

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<strong>Comprehensive</strong> <strong>Ophthalmology</strong> <strong>Free</strong> <strong>Papers</strong><br />

Fundus picture showed grade ΙΙ hypertensive retinopathy in both the cases<br />

(i.e. moderate arteriolar narrowing and arteriovenous crossing changes).<br />

CSR<br />

Gass JDM 35 reported that 90% of pregnant women with central serous<br />

retinopathy develop white fibrinous subretinal exudates usually in third<br />

trimester. Cruysberg J.R et. al. reported CSR in three pregnant women.<br />

All of them presented with central scotoma and symptoms disappeared<br />

spontaneously after delivery.<br />

In this present study we found one cases (6.6%) (35 weeks GA) presenting with<br />

central scotoma for ten days. Her visual acuity at the time of presentation was<br />

6/12 in right eye and 6/6 in left eye. On fundus examination there was retinal<br />

edema surrounding macula and white subretinal exudate temporal to macula<br />

in right eye and normal fundus picture of left eye. Right eye was diagnosed<br />

as central serous retinopathy. During postpartum period her vision was<br />

gradually improved and she attained vision of 6/6 in both the eyes. Fundus<br />

picture showed resolution of retinal edema, mild mottling and subretinal<br />

exudate in right eye.<br />

In conclusion the intraocular pressure decreased in 1st, 2nd, 3rd trimester<br />

and PIH cases when compared to the control group. Intraocular pressure<br />

levels decreased more in 3rd trimester when compared to 1st trimester with P<br />

value

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