Hage R, Gouhier J, Jean-Charles A, Donnio A, Merle H
Service d'ophtalmologie, hôpital Pierre-Zobda-Quitman, centre hospitalier universitaire de Fort-de-France, BP 632, 97261 Fort-de-France cedex, Martinique.
J Fr Ophtalmol. 2012 Dec;35(10):824.e1-6. doi: 10.1016/j.jfo.2012.02.010. Epub 2012 Sep 28.
Three Afro-Caribbean women presented with a decreased visual acuity associated with preeclampsia during the third trimester of pregnancy. Fundus examination exhibited a serous retinal detachment (SRD). Postpartum fluorescein and indocyanine green angiography indicated subretinal leakage induced by choroidal ischemia. The three patients had an improvement of their visual acuity to 20/20 within 2 to 3 months of the onset of symptoms. Fundus exam and fluorescein angiography showed no further abnormality. SRD in preeclampsia may have an impressive acute presentation but seems to resolve favorably spontaneously without intervention, upon delivery. Nevertheless, SRD must be considered to be a sign of imminent worsening of preeclampsia.
三名非洲加勒比裔女性在妊娠晚期出现与子痫前期相关的视力下降。眼底检查显示浆液性视网膜脱离（SRD）。产后荧光素和吲哚菁绿血管造影显示脉络膜缺血引起的视网膜下渗漏。三名患者在症状出现后的2至3个月内视力提高到20/20。眼底检查和荧光素血管造影未显示进一步异常。子痫前期中的SRD可能有令人印象深刻的急性表现，但在分娩后似乎无需干预即可自发良好地消退。然而，SRD必须被视为子痫前期即将恶化的迹象。
