Partial HELLP syndrome with unilateral exudative retinal detachment treated conservatively

Abstract

Peripartum vision loss, an uncommon, often reversible complication of pregnancy usually occurs in the setting of pre-eclampsia or eclampsia. The HELLP syndrome is characterized by hypertension, elevated liver enzymes and low platelets. This is a rare case of unilateral exudative retinal detachment associated with the Partial HELLP syndrome that occurred after delivery in a 23-year-old Indian woman. The retinal detachment subsequently reattached with good visual improvement under conservative treatment. This case highlights the importance of early intervention by the ophthalmologist when pregnant women complain about visual symptoms.

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

“…Recientemente, otros autores han mencionado que en la isquemia por vasoconstricción coroidea se produciría una fuga de agentes vasoconstrictores, tales como la angiotensina II, adrenalina y vasopresina desde la coriocapilar al líquido intersticial coroideo; agentes que está comprobado se producen en pacientes con PE 13 . La fisiopatología del DR exudativo en PE no es del todo conocida, aunque la isquemia coroidea pudiera jugar el papel fundamental en esta entidad 14 . Figura 4.…”

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

“…HELLP syndrome is a complication of pregnancy characterized by three criteria: hemolysis, elevated liver enzymes, and low platelet count. Partial HELLP syndrome (pHELLP) is defined by the presence of one or two features of HELLP syndrome but not the complete form [2][3][4]. There are no reliable data on its incidence [3].…”

Preeclamptic serous retinal detachment without hypertension: A case report

“…In a review of the literature, we identified 43 case reports and case series documenting serous retinal detachment during pregnancy. Our review included 97 women diagnosed with preeclampsia with a median gestational age at presentation of 31.9 weeks (range 20–40 weeks) [ 5 , [7] , [8] , [9] , [10] , [11] , [12] , [13] , [14] , [15] , [16] , [17] , [18] , [19] , [20] , [21] , [22] , [23] , [24] , [25] , [26] , [27] , [28] , [29] , [30] , [31] , [32] , [33] , [34] , [35] , [36] , [37] , [38] , [39] , [40] , [41] , [42] , [43] , [44] , [45] , [46] ]. Of cases with blood pressure data reported (90 of 97), only one patient was normotensive.…”