Widefield Swept-Source OCTA Findings in HELLP Syndrome: Choroidal Infarcts

Area of Science:

• Ophthalmology
• Maternal-Fetal Medicine

Background:

• Pre-eclampsia, eclampsia, and HELLP syndrome are linked to ophthalmic issues.
• These conditions can cause serous retinal detachments and choroidal vascular disorders.

Purpose of the Study:

• To report a case of macular serous detachment in a patient with HELLP syndrome.
• To demonstrate the utility of wide field swept-source OCT angiography (WF SS-OCTA) in this context.

Main Methods:

• Retrospective case report of a patient with HELLP syndrome.
• Utilized multimodal retinal imaging, including WF SS-OCTA.

Main Results:

• A 36-year-old female with HELLP syndrome presented with blurry vision and macular subretinal fluid.
• WF SS-OCTA revealed choroidal infarction, indicated by flow signal attenuation in the peripapillary and subfoveal regions.

Conclusions:

• Findings support the link between HELLP syndrome, choroidal dysfunction, and serous retinal detachments.
• WF SS-OCTA is a valuable non-invasive tool for diagnosing and understanding the pathophysiology of these conditions.