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Preeclamptic serous retinal detachment without hypertension: A case report
S Ahmed Hussain1, Brendan J O'Shea1, Andrew S Thagard1
1Department of Obstetrics & Gynecology, Naval Medical Center Portsmouth, 620 John Paul Jones Circle, Portsmouth, VA 23704, United States.
Case Reports in Women'S Health
|February 9, 2019
Summary
Preeclampsia can cause serous retinal detachment, a rare complication affecting vision during pregnancy. Vigilance for preeclampsia is crucial in pregnant patients with visual symptoms, even without hypertension.
Area of Science:
- Obstetrics and Gynecology
- Ophthalmology
- Nephrology
Background:
- Preeclampsia is a pregnancy complication characterized by hypertension and proteinuria.
- Serous retinal detachment is a rare but serious complication of severe preeclampsia.
- This condition is associated with significant maternal morbidity and mortality.
Observation:
- A 24-year-old primigravida presented with serous retinal detachment at 30 weeks gestation.
- This visual complication occurred in the absence of typical preeclampsia hypertension.
Findings:
- The patient was diagnosed with preeclamptic serous retinal detachment.
- Following cesarean delivery for fetal malpresentation, her vision fully recovered by three months postpartum.
Implications:
- Clinicians should consider preeclampsia in pregnant patients with new visual disturbances, even without hypertension.
- Vigilance for preeclampsia in cases of unexplained visual symptoms can improve maternal outcomes.
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