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Context: Pre-eclampsia and Eclampsia are responsible for significant maternal and fetal mortality andmorbidity associated with pregnancy.Aims: To determine incident and assessment of posterior segment changes in Pre-Eclampsia andEclampsia. To find association of retinal changes in relation to severity of disease with age, parity, bloodpressure, proteinuria.Settings and Design: Cross-sectional study.Materials and Methods: All cases of pre-eclampsia/eclampsia were included in this study. Age,gravida, gestation period, blood pressure, and proteinuria were available on case records. Through retinalexamination was done and findings were noted.Statistical analysis used: Chi-square test.Results: A total of 251 patients of pre-eclampsia and eclampsia were enrolled. The mean age of patientswas 24.79 years. The gestation period ranged from 20 weeks to 36 weeks; 88 were the primigravida. 223patients had preeclampsia, and 28 had eclampsia. Retinal changes (hypertensive retinopathy) were notedin 84 patients - Grade 1 in 55, Grade 2 in 27 and Grade 4 in 1. Retinal detachment was seen in one patient.Conclusions: Retinal changes were seen in 33.46% of patients. Statistical association was found withlower age group, primigravida and severity of pre-eclampsia/eclampsia. No association found withproteinuria.Keywords: PreEclampsia, Eclampsia, Retinal changes, Proteinuria.

Fundoscopic changes in patients of pre-eclampsia and eclampsia at tertiary care centre in Surat