title: SWEPT SOURCE OPTICAL COHERENCE TOMOGRAPHY EVALUATION OF CHORIORETINAL CHANGES IN HYPERTENSIVE CHOROIDOPATHY RELATED TO HELLP SYNDROME.
abstract: OBJECTIVE
  To report a case of hypertensive choroidopathy with detailed chorioretinal images obtained using swept source optical coherence tomography.
  
  
  METHODS
  We report the case of a 36-year-old pregnant woman who presented with extensive bilateral exudative retinal detachments (visual acuity of hands movement bilaterally), high blood pressure, and severe alteration of the laboratory test results resulting in the diagnosis of HELLP syndrome. The baby was delivered by emergency cesarean section and the patient was hospitalized in the intensive care unit.
  
  
  RESULTS
  Two weeks later, exudative retinal detachments improved substantially and bilateral Elschnig spots were present in the posterior fundus. Swept source optical coherence tomography revealed serous retinal detachment, multiple pigmentary epithelial detachments (PEDs), a thickened subfoveal choroid (437 and 466 μm), and fibrinous material between the neurosensory retina and retinal pigment epithelium in the B-scans of both eyes. En face swept source optical coherence tomography allowed a more precise evaluation of the multiple and confluent PEDs. Six weeks later, despite some focal areas of thickened retinal pigment epithelium, the serous retinal detachment, PEDs, and fibrinous material resolved bilaterally and visual acuity and choroidal thickness returned to normal range (361 and 366 μm). En face swept source optical coherence tomography revealed a dramatic improvement of PEDs in terms of extension and distribution.
  
  
  CONCLUSIONS
  Swept source optical coherence tomography detected serous retinal detachment, PEDs, increased subfoveal choroidal thickness, and fibrinous material under the neurosensory retina in the acute phase of hypertensive choroidopathy. En face OCT is useful for monitoring the evolution of confluent PEDs in hypertensive choroidopathy.
authors.affiliation: Department of Ophthalmology, Vall de Hebron Hospital, Barcelona, Spain.
authors.forename: Daniel
authors.initials: D
authors.lastname: Velazquez-Villoria
authors.affiliation: Department of Ophthalmology, Vall de Hebron Hospital, Barcelona, Spain.
authors.forename: Pablo
authors.initials: P
authors.lastname: Marti Rodrigo
authors.affiliation: Department of Ophthalmology, Vall de Hebron Hospital, Barcelona, Spain.
authors.forename: Maria L
authors.initials: ML
authors.lastname: DeNicola
authors.affiliation: Department of Ophthalmology, Vall de Hebron Hospital, Barcelona, Spain.
authors.forename: Miguel A
authors.initials: MA
authors.lastname: Zapata Vitori
authors.affiliation: Department of Ophthalmology, Vall de Hebron Hospital, Barcelona, Spain.
authors.forename: Antonio
authors.initials: A
authors.lastname: Segura García
authors.affiliation: Department of Ophthalmology, Vall de Hebron Hospital, Barcelona, Spain.|Department of Ophthalmology, Instituto de Microcirugía Ocular, Barcelona, Spain.
authors.forename: Jose
authors.initials: J
authors.lastname: García-Arumí
mesh_terms: D000328:Adult; D056833:Central Serous Chorioretinopathy / Q000175:diagnosis* / Q000209:etiology; D002829:Choroid / Q000473:pathology*; D005260:Female; D005451:Fluorescein Angiography; D005654:Fundus Oculi; D017359:HELLP Syndrome / Q000175:diagnosis*; D006801:Humans; D011247:Pregnancy; D011248:Pregnancy Complications; D055213:Retinal Pigment Epithelium / Q000473:pathology*; D041623:Tomography, Optical Coherence / Q000379:methods*; D014792:Visual Acuity