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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.
Retinal Cases & Brief Reports
|November 24, 2015
Summary
Spectral domain optical coherence tomography (SDOCT) revealed characteristic choroidal morphology in a patient with hemolysis, elevated liver enzymes, and low platelets (HELLP) syndrome. These findings may aid in diagnosing HELLP syndrome.
Area of Science:
- Ophthalmology
- Obstetrics
- Hematology
Background:
- Hemolysis, elevated liver enzymes, and low platelets (HELLP) syndrome is a severe condition often associated with pregnancy.
- Ocular manifestations of HELLP syndrome are rare but can be sight-threatening.
Observation:
- A pregnant patient presented with visual disturbances and was diagnosed with HELLP syndrome.
- Spectral domain optical coherence tomography (SDOCT) revealed extensive serous retinal detachment, hyperreflective foci, choroidal thickening, and unclear choroidal vessel contours.
- Severe hypertension (230/168 mmHg) was noted.
Findings:
- SDOCT demonstrated characteristic choroidal morphology in HELLP syndrome.
- Fundus lesions, including serous retinal detachment and choroidal thickening, resolved rapidly after Cesarean delivery and medical management.
- Choroidal thinning was observed post-treatment.
Implications:
- SDOCT imaging of the choroid may serve as a diagnostic marker for HELLP syndrome.
- Prompt diagnosis and management, including delivery, are crucial for favorable maternal and ocular outcomes.
- Understanding ocular findings in HELLP syndrome can improve patient care and diagnostic accuracy.
