重度子痫前期患者出现的单侧球结膜水肿、大泡性浆液性视网膜脱离及疑似脉络膜脱离
UNILATERAL CHEMOSIS, BULLOUS SEROUS RETINAL DETACHMENT, AND PRESUMED BACILLARY LAYER DETACHMENT IN SEVERE PREECLAMPSIA.
作者信息
Zatreanu Luca, Iyer Neel S
机构信息
Department of Ophthalmology, Cooper University Hospital, Camden, New Jersey.
ReFocus Eye Health, Philadelphia, PA and Camden, New Jersey; and.
出版信息
Retin Cases Brief Rep. 2023 Mar 1;17(2):200-205. doi: 10.1097/ICB.0000000000001141.
BACKGROUND/PURPOSE: To report a case of unilateral chemosis, serous retinal detachment (SRD), and presumed bacillary layer detachment in pregnancy.
METHODS
Clinical examination and multimodal imaging findings were reviewed and analyzed.
RESULTS
A 17-year-old female patient with severe preeclampsia was found to have unilateral chemosis and bullous SRD. Postpartum optical coherence tomography revealed thickened choroid and presumed bacillary layer detachment. Two weeks later, chemosis and SRD resolved, leaving behind mottled hyperpigmentation, drusen, and subretinal drusenoid deposits.
CONCLUSION
The combination of chemosis and SRD in preeclampsia is exceedingly, rare and it has never previously been reported to occur unilaterally. With delivery, visual acuity, chemosis, choroidal thickness, and SRD all normalize.
背景/目的：报告一例妊娠期间出现单侧结膜水肿、浆液性视网膜脱离（SRD）及疑似脉络膜脱离的病例。
方法
回顾并分析临床检查及多模态影像学检查结果。
结果
一名患有重度子痫前期的17岁女性患者被发现有单侧结膜水肿和大泡性SRD。产后光学相干断层扫描显示脉络膜增厚及疑似脉络膜脱离。两周后，结膜水肿和SRD消退，遗留斑驳状色素沉着、玻璃膜疣及视网膜下类玻璃膜疣沉积物。
结论
子痫前期合并结膜水肿和SRD极为罕见，此前从未有单侧发生的报道。分娩后，视力、结膜水肿、脉络膜厚度及SRD均恢复正常。
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