Bilateral serous retinal detachment

Gundlach, Enken; Junker, Bernd; Gross, Nikolai; Hansen, Lutz L.; Pielen, Amelie

doi:10.1136/bjophthalmol-2012-302528

Cited by 12 publications

(5 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…SRD may be unilateral or bilateral and may appear before birth or in the postpartum period. 4,5 Other findings such as central retinal vein occlussion, vitreous hemorrhage and cortical blindness have also been reported in HELLP syndrome. 6,7,8 Different theories are proposed for the mechanism of SRD development in disease.…”

Section: Discussionmentioning

confidence: 94%

Bilateral Vision Loss after Delivery in Two Cases: Severe Preeclampsia and HELLP Syndrome

Çelik

Eser

Günay

et al. 2015

tjo

View full text Add to dashboard Cite

Two patients with no symptoms of hypertension in their medical history before pregnancy were referred to the obstetrics emergency clinic with hypertension and visual complaints. After physical examination and laboratory tests, one of the patients was diagnosed with severe preeclampsia while the other was diagnosed with HELLP syndrome (Hemolysis-Elevated Liver enzymes-Low Platelets). Ocular examinations were performed after delivery due to the patients’ worsening visual complaints. The severe preeclamptic patient showed bilateral serous retinal detachment (SRD) while the patient with HELLP syndrome showed bilateral macular hemorrhage. Systemic blood pressure control was advised. The patients’ ocular findings and visual acuities improved in the follow-up periods. SRD and macular hemorrhage can be observed in patients with preeclampsia and HELLP syndrome as a result of the disruption of retinal and choroidal vasculature.

show abstract

Section: Discussionmentioning

confidence: 94%

Bilateral Vision Loss after Delivery in Two Cases: Severe Preeclampsia and HELLP Syndrome

Çelik

Eser

Günay

et al. 2015

tjo

View full text Add to dashboard Cite

show abstract

“…Whether unilateral or bilateral, SRD may occur before or after birth. 7 The exact SRD mechanism in PE cases remains unknown. There are different theories explaining the development of SRD.…”

Section: Discussionmentioning

confidence: 99%

Spontaneous Resolution of Bilateral Bullous Serous Retinal Detachment in Preeclampsia: A Case Report from Somalia

Calisir¹,

Barut²,

Kadiye³

2022

IMCRJ

View full text Add to dashboard Cite

A 29-year-old preeclamptic postpartum patient with no symptoms of hypertension in her medical history before pregnancy was referred to the ophthalmology outpatient clinic with the complaint of sudden bilateral vision loss. Slit-lamp fundus examination and B-scan ultrasonography showed serous retinal detachment (SRD) in both eyes. She was diagnosed with bullous SRD due to preeclampsia (PE). The patient’s fundoscopy findings regressed spontaneously, and visual acuities improved within one month. SRD should be considered in case of vision loss before or after birth in patients with PE, and such patients should undergo retinal examination.

show abstract

“…Bilateral SRD due to preeclampsia with or without HELLP syndrome, which was first reported in 1989 [7], is a rare but well-described, ocular complication. SRD generally occurs before birth or in the postpartum period [8,9]. The pathomechanism is proposed to involve generalized endothelial dysfunction and vasospasm in the maternal circulation, resulting in ischemia in retinal pigment epithelium (RPE) and choroid and secondary impairments to the retina [10][11][12].…”

Section: Discussionmentioning

confidence: 99%

Clinical Course of OCTA en face Imaging Findings in a Patient with HELLP Syndrome

Konuma¹,

Mizobuchi²,

Watanabe³

et al. 2022

Case Rep Ophthalmol

View full text Add to dashboard Cite

A 36-year-old primigravid woman with suspected gestational hypertension was referred to our hospital for further examination and treatment of bilateral serous retinal detachment (SRD). At the previous hospital immediately after the onset of visual symptoms (decreased visual acuity), the best-corrected visual acuity (BCVA) had been 0.1 in the right eye (RE) and 0.08 in the left eye (LE). Funduscopy revealed diffuse SRD and white discoloration at the posterior pole but no retinal tear in both eyes (BE). Optical coherence tomography (OCT) also revealed SRD. One day after the onset, we diagnosed bilateral SRD due to preeclampsia with HELLP syndrome because of elevated blood pressure, hemolysis, elevated liver enzymes, and low platelet and performed an emergency cesarean section. One week after the onset, BCVA improved to 0.3 in BE. Funduscopy showed resolution of SRD and the remaining white discoloration at the posterior pole. OCT showed complete resolution of SRD, blurred external limiting membrane, and an invisible ellipsoid zone. OCT angiography (OCTA) segmentation of the deep retinal layer (using en face imaging) revealed multiple white materials, mainly in the macula. Although funduscopy and OCT showed almost normal appearance by 2 months after the onset, BCVA was not completely improved. OCTA using en face imaging revealed shrinkage of multiple white materials but remnant material at the posterior pole. One year after the onset, BCVA was 0.9 in the RE and 0.8 in the LE. OCTA using en face imaging revealed remnant white materials but marked improvement overall.

show abstract

Bilateral serous retinal detachment

Cited by 12 publications

References 14 publications

Bilateral Vision Loss after Delivery in Two Cases: Severe Preeclampsia and HELLP Syndrome

Bilateral Vision Loss after Delivery in Two Cases: Severe Preeclampsia and HELLP Syndrome

Spontaneous Resolution of Bilateral Bullous Serous Retinal Detachment in Preeclampsia: A Case Report from Somalia

Clinical Course of OCTA en face Imaging Findings in a Patient with HELLP Syndrome

Contact Info

Product

Resources

About