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Bilateral serous retinal detachments in the H.E.L.L.P. syndrome
J P Burke1, I Whyte, C J MacEwen
1Department of Ophthalmology, Ninewells Hospital, Scotland.
Acta Ophthalmologica
|June 1, 1989
Summary
This report details the first case of HELLP syndrome presenting with ophthalmic signs, including retinal detachments. Early recognition of these eye findings can aid in diagnosing this critical pregnancy complication.
Area of Science:
- Obstetrics
- Ophthalmology
- Hematology
Background:
- HELLP syndrome (Haemolysis, Elevated Liver enzymes, Low Platelets) is a severe pregnancy complication.
- Diagnosis can be delayed due to non-obstetric differentials for abdominal pain and abnormal lab results.
- Ophthalmic manifestations are not widely recognized as presenting signs.
Purpose of the Study:
- To describe the first reported case of HELLP syndrome with specific ophthalmic findings.
- To highlight the importance of considering ophthalmic signs in the diagnosis of HELLP syndrome.
- To expand the spectrum of recognized clinical manifestations of HELLP syndrome.
Main Methods:
- Case report of a pregnant patient presenting with symptoms suggestive of HELLP syndrome.
- Ophthalmic examination including fundoscopy to identify retinal abnormalities.
- Review of clinical presentation, laboratory data, and diagnostic workup.
Main Results:
- The patient presented with serous retinal detachments and sub-retinal opacities.
- These ophthalmic findings were associated with the characteristic laboratory and clinical features of HELLP syndrome.
- The case underscores the link between specific ocular signs and this obstetric emergency.
Conclusions:
- Serous retinal detachments and sub-retinal opacities should raise suspicion for HELLP syndrome.
- Ophthalmological evaluation can be crucial for the timely diagnosis and management of HELLP syndrome.
- Recognizing these ophthalmic signs may improve patient outcomes by facilitating earlier intervention.