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Bilateral Serous Retinal Detachment in Pregnancy
Daniel Sen Kai Phang1, Nurulhuda Ariffin2, Hayati Abd Aziz2
1Ophthalmology, School of Medical Sciences, Universiti Sains Malaysia, Kota Bharu, MYS.
Cureus
|November 9, 2022
Summary
Serous retinal detachment, a rare pregnancy complication, can cause vision loss in preeclampsia patients. Conservative management post-delivery typically leads to full visual recovery.
Area of Science:
- Ophthalmology
- Maternal-Fetal Medicine
Background:
- Serous retinal detachment (SRD) is an uncommon ocular complication during pregnancy.
- Preeclampsia is a significant risk factor for various maternal and fetal complications.
Observation:
- A 30-year-old primigravida with preeclampsia presented with acute bilateral vision blurring and metamorphopsia.
- Fundus examination revealed bilateral macula-involving serous retinal detachment.
Findings:
- The patient was managed conservatively with close monitoring.
- Blood pressure normalized postpartum, with gradual resolution of subretinal fluid over three months.
- Final best-corrected visual acuity returned to 6/6 and N5 in both eyes.
Implications:
- Conservative management of pregnancy-associated SRD can yield excellent visual outcomes.
- Early recognition and multidisciplinary care are crucial for managing this condition.
- This case highlights the importance of ophthalmic assessment in pregnant patients with visual disturbances.
