Kasai Ayaka, Sugano Yukinori, Maruko Ichiro, Sekiryu Tetsuju
*Department of Ophthalmology, Fukushima Medical University School of Medicine, Fukushima City, Japan; and †Department of Ophthalmology, Tokyo Women's Medical University, Tokyo, Japan.
Retin Cases Brief Rep. 2016 Summer;10(3):273-7. doi: 10.1097/ICB.0000000000000249.
We report here, the morphological characteristics of the retina and choroid in a patient with hemolysis, elevated liver enzymes, low platelets (HELLP) syndrome, who was not aware of her pregnancy before visiting our hospital.
Case report.
The patient complained of visual disturbances in both eyes for a few days. Extensive serous retinal detachment and hyperreflective foci were observed in both eyes on spectral domain optical coherence tomography (SDOCT). Enhanced depth imaging technique using SDOCT revealed choroidal thickening and unclear choroidal vessel contour. Her blood pressure was 230/168 mmHg. Laboratory data showed hemolysis and liver dysfunction. Obstetrical examination disclosed her pregnancy. She was diagnosed as having HELLP syndrome. Because her general condition improved after prompt Cesarean delivery, the fundus lesions were rapidly resolved with choroidal thinning.
The eyes in a patient with HELLP syndrome showed characteristic choroidal morphology. The choroidal morphology shown with SDOCT might be one of the pathognomonic signs for a diagnosis of HELLP syndrome.
我们在此报告一名溶血、肝酶升高、血小板减少（HELLP）综合征患者的视网膜和脉络膜形态特征，该患者在来我院就诊前未意识到自己怀孕。
病例报告。
患者主诉双眼视力障碍数天。在频域光学相干断层扫描（SDOCT）检查中，双眼均观察到广泛的浆液性视网膜脱离和高反射灶。使用SDOCT的增强深度成像技术显示脉络膜增厚且脉络膜血管轮廓不清。她的血压为230/168 mmHg。实验室检查显示溶血和肝功能障碍。产科检查发现她已怀孕。她被诊断为HELLP综合征。由于剖宫产术后她的一般状况有所改善，眼底病变随着脉络膜变薄而迅速消退。
HELLP综合征患者的眼部表现出特征性的脉络膜形态。SDOCT显示的脉络膜形态可能是诊断HELLP综合征的特征性体征之一。
Zotero 插件