Key result
Ophthalmic artery Doppler in women who develop preeclampsia shows decreased flow impedance and increased second peak systolic velocity between weeks 11-14 and 20-28 compared to normal pregnancies.
Why the study?
Preeclampsia is a hypertensive disorder affecting 2% to 8% of pregnancies worldwide, and the easily accessible ophthalmic artery Doppler provides information on intracranial circulation to help predict it.
Does ophthalmic artery Doppler predict preeclampsia in pregnant women?
Does ophthalmic artery Doppler predict preeclampsia in pregnant women?
Ophthalmic artery Doppler evaluation of flow impedance and velocity parameters may serve as a predictive tool for preeclampsia during pregnancy.
May support preeclampsia prediction; leaves open prospective validation before clinical adoption.
Background: The ophthalmic artery is the first branch of the internal carotid artery. It exits just distal to the cavernous sinus. The ophthalmic artery is an easily accessible vessel for Doppler evaluation that provides information on the less accessible intracranial circulation. Preeclampsia is a hypertensive disorder in pregnancy associated with 2% to 8% of pregnancy-related complications worldwide.Methodology: A narrative review was carried out through various databases from January 2014 to January 2022; the search and selection of articles was carried out in journals indexed in English. The following keywords were used: Doppler, Artery, Ophthalmic, Prediction, Preeclampsia.Results: The internal carotid artery is divided into branches, the first being the ophthalmic artery. At the ophthalmic level, in women with preeclampsia, a decrease in flow impedance and an increase in the velocity of the flow velocity waveform from the ophthalmic artery have been recorded. It has been identified that between weeks 11 to 14, and between 20 to 28, patients who develop preeclampsia present an increase in the second PSV, compared to patients in pregnancy without involvement. Another of the parameters evaluated in the Doppler of the ophthalmic artery is the maximum mid-diastolic velocity.Conclusions: This review offers updated and detailed information on the prediction of preeclampsia through the elective ophthalmic artery Doppler method.
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Marín et al. (2022) conducted a review in Preeclampsia. Ophthalmic artery Doppler vs. Normal pregnancy was evaluated on Prediction of preeclampsia (changes in flow impedance and velocity). Ophthalmic artery Doppler in women who develop preeclampsia shows decreased flow impedance and increased second peak systolic velocity between weeks 11-14 and 20-28 compared to normal pregnancies.
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