Cultura

Prevalence Of Pre-Eclampsia And Its Association With Vision Problems In KSA: A Systematic Review

VOLUME 22, 2025

The Role of Targeted Infra-popliteal Endovascular Angioplasty to Treat Diabetic Foot Ulcers Using the Angiosome Model: A Systematic Review

VOLUME 6, 2023

Essam adnan abukhshba, Esam Saad Kordi, Hoda Jehad Abousada, Fares Majed Salman, Yasmeen Hassan Alshehri, Yusra Abdulaziz Almaqaleh, Abdulaziz Manna Alshumrani
Atheer Nasser Alhrany, Umkalthom Mahmoud Kissnawi, Ali Dhaifallah Alqarni, Raghad Muteb Alruwaili, Essam Jamaan Alghamdi, Maha Abdullah Alzahrani, Farah Turki Alfuhigi

Abstract

Background: Pre-eclampsia is a pregnancy complication characterized by hypertension and proteinuria, with potential for severe maternal and neonatal outcomes. Visual disturbances, including blurred vision and photophobia, are commonly associated with severe pre-eclampsia, but the prevalence and specific association with vision problems in Saudi Arabia (KSA) remain underexplored. This systematic review aims to assess the prevalence of pre-eclampsia in KSA and its relationship with visual disturbances.

Methods: A comprehensive search of PubMed, Scopus, Web of Science, Embase, and Google Scholar was conducted to identify observational studies (2000-present) reporting on the prevalence of pre-eclampsia and its association with vision problems in KSA. Eligible studies included cross-sectional, cohort, and case-control designs. Two independent reviewers screened titles and abstracts, and discrepancies were resolved through discussion. Data were extracted on study design, sample size, participant demographics, prevalence rates, and reported vision complications.

Results: Out of 124 identified studies, 3 met the inclusion criteria. The prevalence of pre-eclampsia ranged from 1.2% to 6.6% across the included studies. The study by Subki et al. (2.4% prevalence) reported that 37 cases experienced visual problems, though these disturbances were not systematically quantified. Jayousi et al. reported severe maternal complications in 6.6%, while Wahabi et al. observed a 1.2% prevalence across 14,568 participants. Visual disturbances, including blurred vision, were identified but not directly linked with pre-eclampsia in these studies.

Conclusion: The prevalence of pre-eclampsia in KSA varies between 1.2% and 6.6%. While visual disturbances are recognized as complications of severe pre-eclampsia, specific data on their prevalence and types are limited. Further research is needed to systematically quantify vision problems in pre-eclamptic patients in KSA. Early detection and management of pre-eclampsia, alongside addressing visual complications, are essential to improve maternal and neonatal outcomes.

Keywords : Pre-eclampsia, Visual disturbances, Prevalence, Saudi Arabia, Hypertensive disorders..
Erin Saricilar
Lecture in accounting. University of Basrah, College of Administration and Economics, Department of Accounting.

Abstract

Atherosclerotic disease significantly impacts patients with type 2 diabetes, who often present with recalcitrant peripheral ulcers. The angiosome model of the foot presents an opportunity to perform direct angiosome-targeted endovascular interventions to maximise both wound healing and limb salvage. A systematic review was performed, with 17 studies included in the final review. Below-the-knee endovascular interventions present significant technical challenges, with technical success depending on the length of lesion being treated and the number of angiosomes that require treatment. Wound healing was significantly improved with direct angiosome-targeted angioplasty, as was limb salvage, with a significant increase in survival without major amputation. Indirect angioplasty, where the intervention is applied to collateral vessels to the angiosomes, yielded similar results to direct angiosome-targeted angioplasty. Applying the angiosome model of the foot in direct angiosome-targeted angioplasty improves outcomes for patients with recalcitrant diabetic foot ulcers in terms of primary wound healing, mean time for complete wound healing and major amputation-free survival.
Keywords : Diabetic foot ulcer, angiosome, angioplasty