Year: 2017
Type: Article
Title: Bilateral Serous Retinal Detachment in Preeclampsia: Case Report
Author: Kjaev, Ivo
Author: Kjaeva Nivicka, Jana
Author: KJaeva, Sasha
Author: Karadjova, Dafina
Author: Aleksioska, Irena
Author: Daneva Markova, Ana
Author: Dimitrov, Goran
Abstract: Introduction. Preeclampsia presents a medical condition in pregnancy that is manifested with increased blood pressure and protein urine. Ocular involvement is rare. Retinal detachment in preeclampsia is a rare complication; it only occurs in 1-2% of severe preeclampsia but in 10% of those with eclamptic seizures. Case report. A pregnant patient G1P0 visited the outpatient clinic of the University Clinic for Ophthalmology complaining on visual disturbances. The chief complaint was blurred vision and headaches. She was in 31 week of gestation and complained that she had increased blood pressure over the last month. After initial assessment she was suspected of central serous retinal ablation (CSCR). Ocular ultrasound and posterior segment OCT (optical coherence tomography) confirmed the diagnosis.Treatment and outcome. Obstetric examination confirmed high blood (TA180/130) pressure with dipstick urine showing(+++). Unfortunately, the ultrasound showed an eutrophic pregnancy in 31 g.w. with fetus mortus inutero. The patient was administered to the intensive care unit. She had an ophthalmologic check-upat 2 weeks and one month post-partum that showed regression and visual acuity was getting better. The final check-up after 6 months revealed that retina was in place with no subretinal substantial fluid and no macular edema. Conclusion. Serous retinal detachment is a rare complication of preeclampsia. In most case it resolves spontaneously few weeks post delivery.
Publisher: Македонско лекарско друштво / Walter de Gruyter GmbH
Relation: Македонски медицински преглед = Macedonian Medical Review
Identifier: oai:repository.ukim.mk:20.500.12188/8380
Identifier: 0025-1097
Identifier: http://hdl.handle.net/20.500.12188/8380Identifier: 10.1515/mmr-2017-0026
Identifier: 71
Identifier: 2
