[Reversible loss of vision in severe preeclampsia: case report and review of the literature].
Visual disturbances occur in up to 25 % of the patients with preeclampsia. However, blindness remains a rare phenomenon. A 39 year old primigravida was admitted for observation at 30 weeks gestation with signs of preeclampsia. After 11 days she suffered a complete loss of vision. The blindness reversed completely after cesarean section and antihypertensive treatment. Blindness in preeclamptic patients is mostly caused by hypertensive encephalopathy. We discuss pathophysiological aspects as well as diagnostic approaches and therapeutic options with respect to the available literature.
Rieger
L
L
Universitäts-Frauenklinik Würzburg. Rieger_L@klinik.uni-wuerzburg.de
Wessig
C
C
Bussen
S
S
Bartsch
A
A
Sütterlin
M
M
Dietl
J
J
D000328:Adult; D000959:Antihypertensive Agents / Q000627:therapeutic use; D019575:Blindness, Cortical / Q000175:diagnosis* / Q000628:therapy; D001929:Brain Edema / Q000175:diagnosis / Q000628:therapy; D002585:Cesarean Section; D003000:Clonidine / Q000008:administration & dosage; D004078:Dihydralazine / Q000008:administration & dosage; D004359:Drug Therapy, Combination; D005260:Female; D006801:Humans; D020343:Hypertensive Encephalopathy / Q000175:diagnosis* / Q000628:therapy; D007231:Infant, Newborn; D008353:Mannitol / Q000008:administration & dosage; D011225:Pre-Eclampsia / Q000175:diagnosis* / Q000628:therapy; D011247:Pregnancy; D011263:Pregnancy Trimester, Third; D014057:Tomography, X-Ray Computed; D014792:Visual Acuity / Q000187:drug effects
D000959:Antihypertensive Agents; D008353:Mannitol; D003000:Clonidine; D004078:Dihydralazine