title: Purtscher-like retinopathy in a patient with HELLP syndrome.
abstract: OBJECTIVE
  To report the antepartum presentation of Purtscher-like retinopathy and hemolysis, elevated liver enzymes, low platelets (HELLP) syndrome that resulted in severe permanent visual loss.
  
  
  METHODS
  Interventional case report.
  
  
  METHODS
  A 25-year-old primigravida patient at 38.5 weeks gestation presented with severe bilateral loss of vision. Immediate hospitalization with complete evaluation, urgent medical treatment, and cesarean section was performed.
  
  
  RESULTS
  Ophthalmoscopic evaluation showed bilateral Purtscher-like retinopathy. Laboratory studies revealed elevated liver enzymes, thrombocytopenia, and evidence of intravascular coagulation consistent with HELLP syndrome. Despite the successful delivery of a healthy baby, the patient developed permanent visual loss.
  
  
  CONCLUSIONS
  Purtscher-like retinopathy with permanent visual loss can occur antepartum in patients with HELLP syndrome.
authors: Department of Ophthalmology, Mayo Clinic College of Medicine, Jacksonville, Florida 32224, USA. stewart.michael@mayo.edu
authors: Michael W
authors: MW
authors: Stewart
authors: Paul W
authors: PW
authors: Brazis
authors: Christian P
authors: CP
authors: Guier
authors: Sindhu H
authors: SH
authors: Thota
authors: Shirley D
authors: SD
authors: Wilson
mesh_terms: D000328:Adult; D000410:Alanine Transaminase / Q000097:blood; D001219:Aspartate Aminotransferases / Q000097:blood; D001766:Blindness / Q000201:enzymology / Q000209:etiology*; D002585:Cesarean Section; D004211:Disseminated Intravascular Coagulation / Q000175:diagnosis / Q000209:etiology; D005260:Female; D005865:Gestational Age; D017359:HELLP Syndrome; D006801:Humans; D007770:L-Lactate Dehydrogenase / Q000097:blood; D008099:Liver / Q000201:enzymology; D010314:Partial Thromboplastin Time; D010976:Platelet Count; D011247:Pregnancy; D012164:Retinal Diseases / Q000201:enzymology / Q000209:etiology*; D013921:Thrombocytopenia / Q000175:diagnosis / Q000209:etiology
chemical_list: D007770:L-Lactate Dehydrogenase; D001219:Aspartate Aminotransferases; D000410:Alanine Transaminase