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Glaucoma is an eye condition characterized by increased intraocular pressure that damages the retina and optic nerve, leading to irreversible blindness if left untreated. The human eye has various components, including the cornea, iris, pupil, lens, and optic nerve. Aqueous humor is secreted by the epithelium of the ciliary body in the posterior chamber and flows through the trabecular meshwork and canal of Schlemm, maintaining normal intraocular pressure. The trabecular meshwork and the canal...
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Retinal Detachment Model in Rodents by Subretinal Injection of Sodium Hyaluronate
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Exudative Retinal Detachment in Preeclampsia. Case Reports.

Vladimír Kováč, Michaela Viková Leštachová, Petra Bačová

    Ceska a Slovenska Oftalmologie : Casopis Ceske Oftalmologicke Spolecnosti a Slovenske Oftalmologicke Spolecnosti
    |August 22, 2025
    PubMed
    Summary
    This summary is machine-generated.

    Preeclampsia complications can cause vision loss due to exudative retinal detachment. Prompt treatment and delivery led to vision recovery in these rare cases.

    Keywords:
    HELLP syndromePreeclampsiaexudative retinal detachmentpreeclampsiavisual complications of pregnancy

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    Area of Science:

    • Ophthalmology
    • Obstetrics
    • Maternal-Fetal Medicine

    Background:

    • Preeclampsia, eclampsia, and HELLP syndrome are severe pregnancy complications.
    • Exudative retinal detachment is a rare but serious ophthalmologic complication of preeclampsia, affecting 0.2-2% of cases.
    • These conditions involve placental dysfunction, endothelial dysfunction, and various clinical/biochemical abnormalities.

    Purpose of the Study:

    • To present two case reports of preeclampsia complicated by exudative retinal detachment.
    • To highlight the clinical presentation, management, and outcomes of this rare complication.

    Main Methods:

    • Case report analysis of two patients with preeclampsia and exudative retinal detachment.
    • Review of clinical presentation, gestational age, diagnostic findings, and treatment outcomes.
    • Emphasis on the role of delivery and blood pressure stabilization in recovery.

    Main Results:

    • Case 1: A 22-year-old primigravida at 35 weeks gestation with preeclampsia developed bilateral exudative retinal detachment and visual impairment.
    • Case 2: A 38-year-old primigravida at 31 weeks gestation with preeclampsia and HELLP syndrome experienced visual impairment and unilateral exudative retinal detachment post-delivery.
    • Both patients showed resolution of retinal detachment and improved visual acuity within one month after delivery and blood pressure stabilization.

    Conclusions:

    • Exudative retinal detachment is a significant ophthalmologic complication of preeclampsia that can cause visual impairment.
    • Prompt delivery and management of hypertension are crucial for the resolution of exudative retinal detachment and visual recovery.
    • Early recognition and multidisciplinary management are essential for optimizing outcomes in affected pregnancies.