Bilateral choroidal ischaemia and serous retinal detachment in pre-eclampsia.
Serious retinal detachment secondary to choroidal ischaemia is an unusual but well-documented cause of visual loss in preeclampsia. Very few cases have been reported in the literature. We report a case of a 26-year-old multigravida with pre-eclampsia who developed bilateral choroidal ischaemia with serious retinal detachments. There was spontaneous resolution of the serous detachment and the choroidal changes in the post-partum period, with residual pigment epithelial changes. Serous retinal detachments in pre-eclampsia are secondary to choroidal ischaemia and disturbances in the choroidal vascular supply.
Sathish
S
S
Department of Ophthalmology, Aberdeen Royal Infirmary, UK. sathish@ukgateway.net
Arnold
J J
JJ
D000328:Adult; D002829:Choroid / Q000098:blood supply* / Q000473:pathology; D005260:Female; D005451:Fluorescein Angiography; D006801:Humans; D007511:Ischemia / Q000175:diagnosis / Q000209:etiology*; D011225:Pre-Eclampsia / Q000150:complications* / Q000175:diagnosis; D011247:Pregnancy; D012163:Retinal Detachment / Q000175:diagnosis / Q000209:etiology*; D014792:Visual Acuity