title: Retinal detachment in hemolysis, elevated liver enzymes, and low platelet count (HELLP) syndrome: Color vision abnormality as the first and predominant manifestation.
abstract: Serous retinal detachment is sometimes caused by hypertensive disorders in pregnancy and its associated conditions, in which the predominant eye symptoms are blurred vision, distorted vision, and reduced visual acuity. To our best knowledge, this is the first report of a puerperal woman with hemolysis, elevated liver enzymes, and low platelet count (HELLP) syndrome in whom color vision abnormality was the first and predominant manifestation of serous retinal detachment. At 32 weeks of gestation, the 34-year-old Japanese woman underwent cesarean section due to HELLP syndrome. She complained of color vision abnormality on day 1 post-partum and ophthalmological examination revealed serous retinal detachment of both eyes. The visual acuity was preserved. With supportive therapy, her color vision abnormality gradually ameliorated and retinal detachment completely resolved on day 34 post-partum without any sequelae. Obstetricians should be aware that color vision abnormality can be the first and predominant symptom of HELLP-related serous retinal detachment.
authors.affiliation: Departments of Obstetrics and Gynecology.
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Morisawa
authors.affiliation: Ophthalmology, Jichi Medical University, Tochigi, Japan.
authors.forename: Shinji
authors.initials: S
authors.lastname: Makino
authors.affiliation: Departments of Obstetrics and Gynecology.
authors.forename: Hironori
authors.initials: H
authors.lastname: Takahashi
authors.affiliation: Ophthalmology, Jichi Medical University, Tochigi, Japan.
authors.forename: Mari
authors.initials: M
authors.lastname: Sorita
authors.affiliation: Departments of Obstetrics and Gynecology.
authors.forename: Shigeki
authors.initials: S
authors.lastname: Matsubara
mesh_terms: D000328:Adult; D055253:Color Vision / Q000502:physiology*; D003117:Color Vision Defects / Q000209:etiology*; D005260:Female; D017359:HELLP Syndrome / Q000175:diagnosis*; D006801:Humans; D011247:Pregnancy; D012163:Retinal Detachment / Q000209:etiology*
keywords: HELLP; blurred vision; color vision; optical coherence tomography; retinal detachment