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TitelBilateral Serous Retinal Detachment in (Pre-)eclampsia and HELLP Syndrome
Abstract Nr.1053
DoelTo report two cases of bilateral serous retinal detachment as a complication of (pre-)eclampsia and HELLP (Hemolysis, Elevated Liver enzymes, Low Platelet count) syndrome.
MethodesTwo patients developed (pre-)eclampsia, which in one of them was associated with HELLP syndrome. A complete clinical work-up was performed.
ResultatenTwo patients presented with acute unilateral vision loss. A 27-year old lady developed eclampsia at 29 weeks of gestation. One day after an urgent caesarian section, she was diagnosed with a shallow serous retinal detachment around the optic disc in BE and a macular extension in the LE, few haemorrhages and cotton wool spots. This rapidly resolved in three weeks with complete recovery of vision. A 29-year old lady developed pre-eclampsia associated with HELLP syndrome at 33 weeks of gestation. Examination revealed a serous retinal detachment in the peripapillary region and the macula in BE, that worsened after an urgent caesarian section. Fluorescein angiography demonstrated a delay in choroidal filling. Twenty days later, the detachment had resolved spontaneously in BE, though with residual retinal pigment epithelium (RPE) alterations and incomplete visual recovery in the RE.
ConclusieSudden visual loss during pregnancy should prompt the clinician to consider (pre-)eclampsia as a possible diagnosis. The recognition of this rare finding is vital to appropriate management.
Auteur 1
NaamCLAUS
InitialenM
InstituutGhent University Hospital
StadGhent
Auteur 2
NaamHoornaert
InitialenK
InstituutGhent University Hospital, AZ Maria Middelares
StadGhent
Auteur 3
NaamPlatteau
InitialenE
InstituutGhent University Hospital, AZ Maria Middelares
StadGhent
Auteur 4
NaamLeroy
InitialenBP
InstituutGhent University Hospital, The Children's Hospital of Philadelphia
StadGhent, Philadelphia
Auteur 5
NaamDe Zaeytijd
InitialenJ
InstituutGhent University Hospital
StadGhent
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