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[Retinal detachment in preeclampsia and HELLP Syndrome].
J L Sánchez Vicente1, J Ruiz Aragón, K Nanwani
1Hospital del Insalud de Ceuta, España.
Archivos De La Sociedad Espanola De Oftalmologia
|July 3, 2003
Summary
A pregnant woman with severe preeclampsia and HELLP syndrome experienced serous retinal detachments. Vision returned to normal after delivery, with only minor retinal pigment epithelium changes.
Area of Science:
- Ophthalmology
- Maternal-Fetal Medicine
- Nephrology
Background:
- Preeclampsia is a serious pregnancy complication characterized by high blood pressure.
- HELLP syndrome (Hemolysis, Elevated Liver enzymes, and Low Platelets) is a severe variant of preeclampsia.
- Serous retinal detachments can occur in severe hypertensive disorders of pregnancy.
Observation:
- A 33-year-old pregnant female with severe preeclampsia and HELLP syndrome presented with bilateral serous retinal detachments.
- Ophthalmic examination revealed fluid accumulation beneath the neurosensory retina.
Findings:
- Following delivery via Caesarian section, the serous retinal detachments resolved spontaneously.
- Residual pigmentary changes in the retinal pigment epithelium were noted post-delivery.
- The patient's visual acuity returned to normal.
Implications:
- This case highlights the potential for visual disturbances, including serous retinal detachments, in severe preeclampsia with HELLP syndrome.
- Prompt obstetric management, including delivery, can lead to favorable visual recovery.
- Ophthalmological monitoring is crucial in pregnant patients with severe hypertensive disorders.