Sathish S, Arnold J J
Department of Ophthalmology, Aberdeen Royal Infirmary, UK.
Clin Exp Ophthalmol. 2000 Oct;28(5):387-90. doi: 10.1046/j.1442-9071.2000.00342.x.
Serious retinal detachment secondary to choroidal ischaemia is an unusual but well-documented cause of visual loss in preeclampsia. Very few cases have been reported in the literature. We report a case of a 26-year-old multigravida with pre-eclampsia who developed bilateral choroidal ischaemia with serious retinal detachments. There was spontaneous resolution of the serous detachment and the choroidal changes in the post-partum period, with residual pigment epithelial changes. Serous retinal detachments in pre-eclampsia are secondary to choroidal ischaemia and disturbances in the choroidal vascular supply.
脉络膜缺血继发的严重视网膜脱离是先兆子痫中一种罕见但有充分文献记载的视力丧失原因。文献中报道的病例极少。我们报告一例26岁的多产妇先兆子痫患者，其发生双侧脉络膜缺血并伴有严重视网膜脱离。产后浆液性脱离和脉络膜改变自发消退，遗留色素上皮改变。先兆子痫中的浆液性视网膜脱离继发于脉络膜缺血和脉络膜血管供应紊乱。
