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

Çelik, Gökhan; Eser, Ahmet; Günay, Murat; Yenerel, Nursal Melda

doi:10.4274/tjo.45722

Cited by 12 publications

(12 citation statements)

References 10 publications

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“… 7 12 13 It has been shown that preeclamptic women complicated by HELLP (Haemolysis, Elevated Liver enzymes and Low Platelets) syndrome are seven times more likely to develop retinal detachment than those who do not develop HELLP. 14 …”

Section: Introductionmentioning

confidence: 99%

Case-control study on ocular changes and ophthalmic Doppler velocimetric indices among preeclamptic and normotensive pregnant women in Ibadan, Nigeria

et al. 2020

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ObjectiveTo compare the ocular changes and Doppler velocimetric indices in preeclamptic and normotensive pregnant women.Methods and analysisThis was a case-control study of 71 preeclamptic women and 72 parity-matched normotensive pregnant women conducted at the University College Hospital, Ibadan, Nigeria. Demographic data were obtained using questionnaires. All participants had visual acuity assessment, funduscopy, intraocular pressure measurement and orbital Doppler ultrasonography. The differences in parameters between the two groups were tested using Student’s t-test for quantitative variables and χ2 tests for categorical variables.ResultsThere were no significant differences between cases and controls with respect to sociodemographic variables. The mean pulsatility index was 1.35±0.46 in cases and 2.1±0.4 in controls (p<0.001); the resistivity index was 0.7±0.18 in cases and 0.83±0.27 among the controls (p=0.01). A similar pattern was observed in the peak systolic velocity (p<0.001) and the peak ratio (p<0.001). There was no significant difference between the groups concerning end-diastolic velocity (p=0.535). Three preeclampsia patients (5.2%) had abnormalities on funduscopy compared with none of the controls. Preeclamptic women had significantly higher intraocular pressures in both eyes at baseline and at 24 hours post delivery.ConclusionThis study demonstrated lower Doppler velocimetry and impedance parameters and higher intraocular pressure among preeclampsia cases compared with controls. Abnormal funduscopic findings were observed in a few preeclamptic women and none among the controls. Ophthalmic artery Doppler parameters could be useful in identifying those women who are likely to suffer preeclampsia and its complications.

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Section: Introductionmentioning

confidence: 99%

Case-control study on ocular changes and ophthalmic Doppler velocimetric indices among preeclamptic and normotensive pregnant women in Ibadan, Nigeria

et al. 2020

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“…The most common OCT finding is the elevation of the inner and outer retinal layers associated with severe neurosensorial retinal detachment as well as intraretinal cysts. [ 13 ] In our case, there was severe neurosensorial retinal detachment in the right eye but there were no intraretinal cysts.…”

Section: Discussionmentioning

confidence: 54%

Spontaneous resolution of serous retinal detachment in preeclampsia

Limon

2020

Saudi Journal of Ophthalmology

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A 24-year-old pregnant woman applied with 2 days of sudden vision loss. Funduscopy showed serous retinal detachment along in the right eye and tear was not found. In the left eye, there were two small subretinal fluid accumulationsThe patient was diagnosed with serous retinal detachment due to preeclampsia. Serous retinal detachment of the patient regressed spontaneously within 1 month. All pregnant women with gestational hypertension should undergo retinal examination.

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“…In line with the literature, we observed that SRD gradually resolved, and visual acuity recovered completely. 13 , 14 …”

Section: Discussionmentioning

confidence: 99%

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

Calisir¹,

Barut²,

Kadiye³

2022

IMCRJ

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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.

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

Cited by 12 publications

References 10 publications

Case-control study on ocular changes and ophthalmic Doppler velocimetric indices among preeclamptic and normotensive pregnant women in Ibadan, Nigeria

Case-control study on ocular changes and ophthalmic Doppler velocimetric indices among preeclamptic and normotensive pregnant women in Ibadan, Nigeria

Spontaneous resolution of serous retinal detachment in preeclampsia

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

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