Bartczak Agnieszka, Kraśnicki Paweł, Urban Remigiusz, Laudaiński Tadeusz, Mariak Zofia
Klin Oczna. 2014;116(1):21-3.
Preeclampsia is a leading cause of maternal and fetal/neonatal mortality worldwide. Serous retinal detachment is an unusual cause of visual loss in pregnancy. This is a case report of a 17-year-old patient who was admitted to the obstetric ward with symptoms of preeclampsia. The pregnancy was terminated by cesarean section at 38 gestational weeks. The patient complained of blurred vision in both eyes throughout the perinatal period. The ophthalmic examination revealed serous retinal detachment in both eyes. The optical coherence tomography demonstrated the hyporeflective area between the retinal pigment epithelium and the neurosensory retina. With blood pressure control at postpartum, there serous retinal detachment resolved spontaneously and patient's vision improved.
子痫前期是全球孕产妇和胎儿/新生儿死亡的主要原因。浆液性视网膜脱离是孕期视力丧失的罕见原因。本文报告一例17岁患者,因子痫前期症状入住产科病房。妊娠38周时行剖宫产终止妊娠。患者在围产期一直诉说双眼视力模糊。眼科检查发现双眼浆液性视网膜脱离。光学相干断层扫描显示视网膜色素上皮和神经感觉视网膜之间的低反射区。产后血压得到控制后,浆液性视网膜脱离自发消退,患者视力改善。