Laporan Kasus: Postpartum Preeklampsia Berat Impending Eklampsia dengan Hipertensi Koroidopati dan Edema Makula

Authors

  • Andika adi saputra Achmad Medical faculty of mulawarman university
  • Dharma Putra Laboratorium Ilmu Obstetri Ginekologi, Program Studi Profesi Dokter Fakultas Kedokteran Universitas Mulawarman, Samarinda Kalimantan Timur

DOI:

https://doi.org/10.29303/jku.v12i4.994

Keywords:

Preeclampsia, severe preeclampsia, choroidopathy, macular edema

Abstract

Preeclampsia is one of the pregnancy-related issues that contributes to a high maternal mortality rate in Indonesia. Severe preeclampsia occurs when the gestational age is <20 weeks, systolic blood pressure is >160 mmHg, diastolic blood pressure is >110 mmHg, accompanied by organ dysfunction. Preeclampsia may persist after delivery for <12 weeks. Hypertension during pregnancy can affect various organs, including the eyes. Visual impairment due to hypertension is associated with damage to the choroid (choroidopathy) and macula (macular edema). Prompt and appropriate management has a positive impact on recovery. Administration of MgSO4 and antihypertensive medications can prevent seizures and lower blood pressure.

References

Prawirohardjo, Sarwono.2010. Ilmu Kebidanan. Jakarta: PT Bina Pustaka.

ACOG. (2020). ACOG Practice Bulletin Clinical Management Guidelines for Obstetricians-Gynecologist : Gestational Hypertention and Preeclampsia. Practice Bulletin The American College of Obstetricians and Gynecologists, e237-e260

Cunningham, F. G., Leveno, K. J., Bloom, S. L., Dashe, J. S., Hoffman, B. L., Casey, B. M., & Spong, C. Y. (2018). Williams Obstetrics. New York: McGraw-Hill Education.

Haydinger, C. D., Ferreira, L. B., Williams, K. A., & Smith, J. R. (2023). Mechanisms of macular edema. Frontiers in Medicine, 10. https://doi.org/10.3389/FMED.2023.1128811

Powles, K., & Gandhi, S. (2017). Postpartum hypertension. CMAJ : Canadian Medical Association Journal, 189(27), E913. https://doi.org/10.1503/CMAJ.160785

Stern, E. M., & Blace, N. (2022). Ophthalmic Pathology of Preeclampsia. StatPearls. https://www.ncbi.nlm.nih.gov/books/NBK576389/

Nagy, ZZ. (2020). Review of the ophthalmic symptoms of preeclampsia. AK Journals. DOI: 10.1556/2066.2020.00005

Rana, Sarosh.,Lemoine, Elisabeth.,Granger, Joey., & Karumanchi, S.(2019). Preeclampsia : Pathophysiology, Challenges and Perspective. AHA Journals, 129(7). https://doi.org/10.1161/CIRCRESAHA.118.313276

Ives, Christopher., Sinkey, Rachel., Rajapreyar, Indranee., Tita, Alan & Oparil, Suzanne. (2020). Preeclampsia—Pathophysiology and Clinical Presentations: JACC State-of-the-Art Review. Journal Of The American College of Cardiology, 76(14). https://doi.org/10.1016/j.jacc.2020.08.014

Tsukikawa, M., & Stacey, A. W. (2020). A Review of Hypertensive Retinopathy and Chorioretinopathy. Clinical Optometry, 12, 67. https://doi.org/10.2147/OPTO.S183492

Downloads

Published

2023-12-31

How to Cite

Achmad, A. adi saputra, & Dharma Putra. (2023). Laporan Kasus: Postpartum Preeklampsia Berat Impending Eklampsia dengan Hipertensi Koroidopati dan Edema Makula. Jurnal Kedokteran, 12(4), 420–422. https://doi.org/10.29303/jku.v12i4.994

Issue

Vol. 12 No. 4 (2023): Jurnal Kedokteran Unram Volume 12 Nomor 4 Tahun 2023

Section

Case Report

License

Copyright (c) 2023 Jurnal Kedokteran Unram

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.