Hussain S Ahmed, O'Shea Brendan J, Thagard Andrew S
Department of Obstetrics & Gynecology, Naval Medical Center Portsmouth, 620 John Paul Jones Circle, Portsmouth, VA 23704, United States.
Case Rep Womens Health. 2019 Jan 23;21:e00098. doi: 10.1016/j.crwh.2019.e00098. eCollection 2019 Jan.
Preeclampsia is a disease of pregnancy classically defined by the development of new-onset hypertension and proteinuria. Serous retinal detachment is a rare complication of severe preeclampsia that is associated with a high incidence of morbidity and mortality. We present the case of a 24-year-old primigravida who was diagnosed with preeclamptic serous retinal detachment at 30 weeks of gestation that occurred in the absence of hypertension. The patient was delivered by cesarean section for fetal malpresentation and she had complete recovery of her vision by three months postpartum. Providers should exercise vigilance for preeclampsia in women presenting with new-onset visual symptoms, even in the absence of hypertension.
子痫前期是一种妊娠期疾病，传统上由新发高血压和蛋白尿的出现来定义。浆液性视网膜脱离是重度子痫前期的一种罕见并发症，其发病率和死亡率都很高。我们报告一例24岁初产妇的病例，该患者在妊娠30周时被诊断为子痫前期合并浆液性视网膜脱离，且当时并无高血压症状。因胎儿胎位异常，患者接受了剖宫产手术，产后三个月视力完全恢复。对于出现新发视觉症状的女性，即使没有高血压，医疗人员也应警惕子痫前期的发生。
