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).
Iida T, Kishi S. Choroidal Vascular Abnormalities in Preeclampsia. Arch Ophthalmol. 2002;120(10):1406–1407. doi:10.1001/archopht.120.10.1406
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