Taskapili Muhittin, Kocabora Selim, Gulkilik Gokhan
Eye Clinic, Vakif Gureba Training and Research Hospital, Istanbul, Turkey.
Ann Ophthalmol (Skokie). 2007 Fall;39(3):261-3. doi: 10.1007/s12009-007-0022-9.
We report a case of HELLP syndrome with bilateral decreased vision at 25 weeks' gestation. Fundus examination revealed serous retinal detachment involving the macula. Systemic steroid and oral dorzolamide therapy was initiated and visual acuity improved. At 2 months, peripheral localized tractional retinal detachment was present in the left eye and argon laser photocoagulation was performed. Macular elevation did not resolve; therefore, in the right eye intravitreal triamcinolone acetonide injection was performed.
我们报告一例妊娠25周时发生的伴有双眼视力下降的HELLP综合征病例。眼底检查发现浆液性视网膜脱离累及黄斑。开始全身使用类固醇和口服多佐胺治疗,视力有所改善。2个月时,左眼出现周边局限性牵拉性视网膜脱离,遂行氩激光光凝治疗。黄斑隆起未消退;因此,对右眼进行了玻璃体内注射曲安奈德。