Abstract
Retinal detachment is a rare complication of hypertensive disorders in pregnancy. It affects 1% of women with severe preeclampsia and 10% of women with eclampsia. In most cases, spontaneous resolution occurs in few weeks, usually without sequels. We present a case of 39-year-old primipara with eclampsia, who developed bilateral serous retinal detachment three days before delivery. After delivery by Caesarean section and the establishment of normal values of blood pressure, spontaneous resorption of subretinal fluid occurred and visual acuity progressively returned to normal.
Highlights
A 39-year-old primipara was hospitalized at the Clinic of Gynecology and Obstetrics, Clinical Center of Banja Luka in the 33rd week of pregnancy due to edema of the lower extremities, low protein levels and arterial hypertension
Optical coherence tomography (OCT) and fundus photography (FF) were not done because the patient was in very severe general condition
It is characterized by the separation of the neurosensory retina from the retinal pigment epithelium (RPE)
Summary
A 39-year-old primipara (in which the pregnancy is a result of in vitro fertilization) was hospitalized at the Clinic of Gynecology and Obstetrics, Clinical Center of Banja Luka in the 33rd week of pregnancy due to edema of the lower extremities, low protein levels and arterial hypertension. In 50% of patients with preeclampsia have been reported visual disturbances: blu rred vision, photopsia, diplopia, disturbance in the visual field, and in severe cases total blindness occurs.[2] visual disturbances are quiet common, complete blindness is rare, with an incidence of 1-3% and may be due to the involvement of the occipital cortex, retina (hypertensive retinopathy, edema, serous retinal detachment), or optic nerve (acute ischemic optic neuropathy).[3]. Serous retinal detachment was first described by von Graefe in 1885 It has been reported in 1% of patients with severe preeclampsia and in 10% of patients with eclampsia.[4] It is characterized by the separation of the neurosensory retina from the retinal pigment epithelium (RPE). Due to extensive chorioretinal ischemia can occur optic atrophy
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