Bilateral Exudative Retinal Detachment Complicating Preeclampsia With Partial Hemolysis, Elevated Liver Enzymes, and Low Platelet Count Syndrome

Abstract

Serous retinal detachment is an uncommon complication of pregnancy that occurs in well-known situations, such as severe preeclampsia, eclampsia, or hemolysis, elevated liver enzymes, and low platelet count (HELLP) syndrome. The latter still does not reach a consensus, in particular on its classification and pathophysiology. We report the case of a young pregnant woman having a partial HELLP syndrome with massive proteinuria who presented a bilateral exudative retinal detachment having healed spontaneously after pregnancy termination and blood pressure control without requiring an ophthalmologic intervention.

Bilateral Exudative Retinal Detachment in Preeclampsia: A Case Report and Literature Review

“…Given appropriate therapeutic care, the majority of patients experiencing serious retinal detachment during pregnancy recover fully within weeks of giving birth and do not require surgical intervention. Some macular changes, especially in the pigment epithelium, may persist [ 4 , 7 , 12 , 13 ]. This case demonstrates the excellent clinical outcome of retinal detachment in clinically controlled preeclampsia.…”

A propósito de un caso de desprendimiento seroso de retina en una paciente con preeclampsia severa

“…El DR exudativo es causado por la ruptura de la barrera hematorretiniana externa formada por uniones estrechas entre las células del EPR, una de cuyas funciones principales es el mantenimiento del espacio subretiniano en estado virtual mediante el transporte del líquido 11 .…”