Hospital do Divino Espírito Santo de Ponta Delgada, Ponta Delgada, Portugal.
Rev Bras Ginecol Obstet. 2020 Nov;42(11):772-773. doi: 10.1055/s-0040-1718448. Epub 2020 Nov 30.
Pre-eclampsia (PE) is an obstetric disease with a multifactorial cause that affects ∼ 5% of pregnant women. Vision can be affected with varying severity, and retinal detachment is a very rare complication. It tends to be bilateral, diagnosed postpartum, and more prevalent in women who are primiparous and/or undergo caesarean delivery. The condition typically resolves completely and rarely causes total visual loss in the affected women. Fluorescence angiographic findings support the hypothesis that retinal detachment in PE is secondary to choroidal ischemia from intense arteriolar vasospasm. The present article is related to a case of a 37-year-old pregnant woman who had PE associated with a progressive blurred vision, diagnosed by ophthalmology as serous macular detachment of the retina.
子痫前期（PE）是一种病因复杂的产科疾病，影响约 5%的孕妇。视力可能受到不同程度的影响，视网膜脱离是一种非常罕见的并发症。它往往是双侧的，产后诊断，在初产妇和/或剖宫产的妇女中更为常见。这种情况通常完全缓解，很少导致受影响的妇女完全失明。荧光血管造影结果支持视网膜脱离是由于强烈的小动脉血管痉挛导致脉络膜缺血的假说。本文涉及一例 37 岁孕妇，患有 PE，伴有进行性视力模糊，眼科诊断为视网膜浆液性黄斑脱离。
