PMID: 16617539Apr 19, 2006Paper

Diagnosis of serous neuroretinal detachments of the macula in severe preeclamptic patients with optical coherence tomography

Hypertension in Pregnancy : Official Journal of the International Society for the Study of Hypertension in Pregnancy
Gábor Márk SomfaiJános Rigó

Abstract

Visual symptoms are common in patients with preeclampsia, and are caused by various underlying pathological changes in the retina. Blurred vision may be one of these symptoms. We describe three cases in which the underlying retinal pathology of blurred vision was clarified using optical coherence tomography (OCT), a novel, non-invasive ophthalmic imaging technique that provides micrometer-scale resolution images of the human retina. Three patients with preeclampsia complained of blurred vision postpartum. In all cases, ophthalmoscopy was performed at the bedside, followed by the assessment of best corrected visual acuity, slit-lamp biomicroscopy, fluorescein angiography (FLA), and OCT. In all cases, the presence of central visual defects was examined by an Amsler-grid. In one case, the symptoms were bilateral. In all affected eyes, the patients complained of a relative central scotoma. Ophthalmoscopy showed edema in the affected maculae, while OCT examination clarified a serous neurosensory detachment of the macula. In one case, a neurosensory detachment was also detected in the papillomacular region of a fellow eye with no symptoms. In two cases, FLA was performed, but only in one case could we detect late leakage and subretin...Continue Reading

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Citations

Jan 31, 2014·Hypertension in Pregnancy : Official Journal of the International Society for the Study of Hypertension in Pregnancy·Mustafa AtaşGökmen Zararsız
Jul 2, 2011·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Paulino Vigil-De Gracia, Luis Ortega-Paz
Jul 31, 2007·Acta Ophthalmologica·Maria WangMichael Larsen
Feb 12, 2017·The Journal of Obstetrics and Gynaecology Research·Mamoru MorikawaHisanori Minakami
Sep 25, 2017·International Ophthalmology·Maliheh ArabMehdi Yaseri
Apr 1, 2009·Retinal Cases & Brief Reports·Ahmad M Mansour, Walid A Medawar
Mar 30, 2021·Journal of Ophthalmology·Xinyi HeYuhua Tong
Nov 5, 2019·American Journal of Perinatology·Conrad N Stern-AscherSrilaxmi Bearelly

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