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Retinal detachment in association with preeclampsia and abruptio placentae
T Bjerknes1, J Askvik, S Albrechtsen
1Department of Obstetrics and Gynecology, Haukeland Hospital, University of Bergen, Norway.
Summary
Severe preeclampsia with placental abruption can cause bilateral retinal detachment. This rare obstetric complication involves disseminated intravascular coagulation, leading to choroidal ischemia and serous retinal detachment.
Area of Science:
- Obstetrics and Gynecology
- Ophthalmology
- Hematology
Background:
- Retinal detachment is a rare but serious complication of obstetric conditions like preeclampsia, eclampsia, and abruptio placentae.
- Disseminated intravascular coagulation (DIC) is a potential consequence of obstetric complications.
Purpose of the Study:
- To report a case of bilateral retinal detachment in a patient with severe preeclampsia, abruptio placentae, intrauterine fetal death, and DIC.
- To discuss the potential pathophysiology linking obstetric complications to retinal detachment.
Main Methods:
- Case report presentation.
- Review of relevant medical literature and pathophysiology.
Main Results:
- The patient presented with bilateral retinal detachment.
- The condition was associated with severe preeclampsia, abruptio placentae, intrauterine fetal death, and DIC.
- A proposed mechanism involves placental thromboplastin activating coagulation, leading to DIC, choroidal ischemia, and retinal detachment.
Conclusions:
- Bilateral retinal detachment can occur as a rare complication of severe preeclampsia with abruptio placentae.
- Disseminated intravascular coagulation secondary to obstetric complications may play a role in the development of choroidal ischemia and serous retinal detachment.