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Retinal disorders in preeclampsia studied with optical coherence tomography
Panagiotis G Theodossiadis1, Anastasia K Kollia, Panagiotis Gogas
1Department of Ophthalmology, Athens University, Athens, Greece. george.netor.gr
American Journal of Ophthalmology
|May 7, 2002
Summary
Optical coherence tomography (OCT) revealed diffuse intraretinal edema in preeclampsia patients. Follow-up OCT showed resolution of macular edema and characteristic retinal pigment epithelium abnormalities.
Area of Science:
- Ophthalmology
- Maternal-Fetal Medicine
- Medical Imaging
Background:
- Preeclampsia is a serious pregnancy complication characterized by hypertension and proteinuria.
- Retinal involvement in preeclampsia can lead to visual disturbances.
Observation:
- A case report details a 24-year-old pregnant woman experiencing severe vision impairment post-cesarean section.
- Optical coherence tomography (OCT) was used to examine retinal changes.
Findings:
- Acute phase OCT showed diffuse intraretinal edema and increased macular thickness.
- Two months post-delivery, edema decreased; eight months post-delivery, macular edema resolved.
- Persistent OCT findings included thickened retinal pigment epithelium (RPE) and focal elevations (Elschnig spots).
Implications:
- OCT is valuable for diagnosing and monitoring retinal disorders in preeclampsia.
- The study highlights the characteristic OCT findings of Elschnig spots in resolved preeclampsia.
- Understanding these OCT changes aids in managing visual complications of preeclampsia.