[Serous retinal detachment in preeclampsia].
A 31-year-old woman with severe pre-eclampsia developed bilateral serous retinal detachment on the second day post partum. After a few days there was spontaneous resorption of the subretinal fluid and the visual acuity improved. Ophthalmic examination showed no signs of hypertensive retinopathy. Some changes of the retinal pigment epithelium thought to represent healed infarcts of the choriocapillaris remained. Spontaneous retinal detachment is an uncommon complication of (pre)eclampsia, occurring both ante partum and post partum. Retinal and choroidal vascular damage have been implicated in the pathogenesis. Fluorescein angiographic observations lend support to the hypothesis that retinal detachment is secondary to choroidal vascular damage. The management of retinal detachment as a complication in obstetrics is conservative and the prognosis is good. Retinal detachment in (pre)eclampsia may be an indication for termination of pregnancy.
Bos
A M
AM
Afd. Gynaecologie en Obstetrie, Martini Ziekenhuis, Groningen. a.m.e.bos@int.azg.nl
van Loon
A J
AJ
Ameln
J G
JG
D000328:Adult; D015862:Choroid Diseases / Q000209:etiology / Q000503:physiopathology; D005260:Female; D005451:Fluorescein Angiography; D006801:Humans; D049590:Postpartum Period; D011225:Pre-Eclampsia / Q000150:complications* / Q000503:physiopathology; D011247:Pregnancy; D012075:Remission, Spontaneous; D012163:Retinal Detachment / Q000175:diagnosis* / Q000209:etiology* / Q000503:physiopathology