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CHOROIDAL MORPHOLOGY IN A PATIENT WITH HELLP SYNDROME
Ayaka Kasai1, Yukinori Sugano, Ichiro Maruko
1*Department of Ophthalmology, Fukushima Medical University School of Medicine, Fukushima City, Japan; and †Department of Ophthalmology, Tokyo Women's Medical University, Tokyo, Japan.
Purpose:
We report here, the morphological characteristics of the retina and choroid in a patient with hemolysis, elevated liver enzymes, low platelets (HELLP) syndrome, who was not aware of her pregnancy before visiting our hospital.
Methods:
Case report.
Results:
The patient complained of visual disturbances in both eyes for a few days. Extensive serous retinal detachment and hyperreflective foci were observed in both eyes on spectral domain optical coherence tomography (SDOCT). Enhanced depth imaging technique using SDOCT revealed choroidal thickening and unclear choroidal vessel contour. Her blood pressure was 230/168 mmHg. Laboratory data showed hemolysis and liver dysfunction. Obstetrical examination disclosed her pregnancy. She was diagnosed as having HELLP syndrome. Because her general condition improved after prompt Cesarean delivery, the fundus lesions were rapidly resolved with choroidal thinning.
Conclusion:
The eyes in a patient with HELLP syndrome showed characteristic choroidal morphology. The choroidal morphology shown with SDOCT might be one of the pathognomonic signs for a diagnosis of HELLP syndrome.
