title: Hypertensive choroidopathy with eclampsia viewed on spectral-domain optical coherence tomography.
abstract: OBJECTIVE
  We report a case of hypertensive choroidopathy with detailed retinal images obtained using spectral-domain optical coherence tomography (SD-OCT).
  
  
  METHODS
  A 19-year-old pregnant woman with no history of high blood pressure had an eclamptic seizure at the 39th week of pregnancy; the baby was delivered by emergency Caesarean section. Six days later, she presented with bilateral blurred vision (best-corrected visual acuity [VA], 0.5, right eye; 0.3, left eye). Bilateral extensive, punctate, pale-yellow Elschnig's spots were present in the posterior fundus. SD-OCT showed a serous retinal detachment (SRD) and retinal pigment epithelium detachment (PED) representing a waveform retinal pigment epithelium (RPE) layer in each eye. The reflective intensity decreased partly at the waveform RPE. A wavy structure suggestive of fibrin was present in both foveas between the photoreceptor ellipsoid zone and the RPE-outer segment line. Four weeks after delivery and oral antihypertensive treatment, the SRDs, PEDs and wavy structure resolved and the VA recovered.
  
  
  CONCLUSIONS
  SD-OCT visualized SRDs, PEDs, wavy structures under the photoreceptor ellipsoid zone, and areas of low intensity RPE layer in hypertensive choroidopathy.
authors.affiliation: Department of Ophthalmology, Asahikawa Medical University, Asahikawa, Japan.
authors.forename: Young-seok
authors.initials: YS
authors.lastname: Song
authors.forename: Reiko
authors.initials: R
authors.lastname: Kinouchi
authors.forename: Satoshi
authors.initials: S
authors.lastname: Ishiko
authors.forename: Katsuhiko
authors.initials: K
authors.lastname: Fukui
authors.forename: Akitoshi
authors.initials: A
authors.lastname: Yoshida
mesh_terms: D015862:Choroid Diseases / Q000175:diagnosis*; D004396:Coloring Agents; D004461:Eclampsia / Q000175:diagnosis*; D005260:Female; D005451:Fluorescein Angiography; D006801:Humans; D046110:Hypertension, Pregnancy-Induced / Q000175:diagnosis*; D007208:Indocyanine Green; D011247:Pregnancy; D012163:Retinal Detachment / Q000175:diagnosis; D055213:Retinal Pigment Epithelium / Q000473:pathology; D041623:Tomography, Optical Coherence; D055815:Young Adult
chemical_list: D004396:Coloring Agents; D007208:Indocyanine Green