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Photo Essay
October 2002

Choroidal Vascular Abnormalities in Preeclampsia

Arch Ophthalmol. 2002;120(10):1406-1407. doi:10.1001/archopht.120.10.1406

A 30-YEAR-OLD woman had decreased vision bilaterally 2 days after undergoing caesarean delivery, which was necessitated because of severe preeclampsia with suspected HELLP (hemolysis [lacatate dehydrogenase, 709 IU/L]; elevated liver enzymes [glutamic-oxaloacetic transaminase, 120 IU/L; glutamic pyruvic transaminase, 82 IU/L]; and low platelet count [100 × 103/µL]) syndrome1 at 32 weeks of pregnancy. Her blood pressure was 158/128 mm Hg. On postpartum day 7, she had bilateral serous retinal detachments (Figure 1). Both fluorescein and indocyanine green angiographies showed severe choroidal abnormalities (Figure 2, Figure 3, and Figure 4).

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