一名无高血压的子痫前期患者出现双侧浆液性视网膜脱离。
BILATERAL SEROUS RETINAL DETACHMENTS IN A PATIENT WITH PREECLAMPSIA WITHOUT HYPERTENSION.
作者信息
Santoro Jarod M, Jeng-Miller Karen W, Liang Michelle C
机构信息
Retina Service, New England Eye Center, Tufts Medical Center, Boston, Massachusetts; and.
Retina Service, Ophthalmic Consultants of Boston, Boston, Massachusetts.
出版信息
Retin Cases Brief Rep. 2023 Mar 1;17(2):219-223. doi: 10.1097/ICB.0000000000001145.
PURPOSE
To report a case of bilateral serous retinal detachments in a patient with preeclampsia without hypertension using multimodal ophthalmic imaging.
METHODS
Case report.
RESULTS
This case demonstrates the rare presentation of bilateral serous retinal detachment in a patient with preeclampsia without hypertension. Characteristic subretinal fluid was seen on examination and optical coherence tomography. No leakage was noted on fluorescein angiography. Treatment was deferred, and the subretinal fluid resolved within 3 weeks.
CONCLUSION
Practitioners should be aware of the rare presentation of serous retinal detachments in preeclampsia, even in the absence of hypertension. Long-term sequelae are uncommon and usually only seen in severe disease. Delivery should be considered once serous retinal detachment develops.
目的
报告1例使用多模式眼科成像技术的无高血压子痫前期患者双侧浆液性视网膜脱离病例。
方法
病例报告。
结果
该病例显示了无高血压子痫前期患者双侧浆液性视网膜脱离这一罕见表现。检查及光学相干断层扫描可见特征性的视网膜下液。荧光素血管造影未见渗漏。治疗被推迟，视网膜下液在3周内消退。
结论
从业者应意识到子痫前期中浆液性视网膜脱离的罕见表现，即使在无高血压的情况下。长期后遗症并不常见，通常仅见于严重疾病。一旦发生浆液性视网膜脱离，应考虑分娩。
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