Abstract

HELLP syndrome (hemolysis, elevated liver enzymes, low platelets) is a pregnancy disorder representing a severe form of preeclampsia and associated with high maternal and fetal mortality. Serous retinal detachment has been reported in eclampsia. However, bilateral exudative retinal detachment associated with HELLP syndrome has rarely been described. We report a case of a 32-year-old patient, gravida III para III, with hypertensive HELLP syndrome who developed bilateral exudative bullous retinal detachment following caesarean delivery at 33 weeks. A comprehensive management and a scheduled monitoring of this potentially sight-threatening eye disease led to saving useful vision.

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