Ozcaliskan Sehnaz, Artunay Ozgur, Erdogan Gurkan, Alagoz Cengiz
University of Health Sciences, Beyoglu Eye Training and Research Hospital, Istanbul, Turkey.
Arq Bras Oftalmol. 2022 May 9;86(6). doi: 10.5935/0004-2749.20230061.
We report a case of a young woman presenting with decreased vision in the right eye. One month earlier, she developed severe preeclampsia at 22 weeks of gestation and the pregnancy was terminated. Fundus examination revealed cotton wool spots and hard exudates in the macula bilaterally, with a yellow spot at the center of the fovea in the right eye. Optic coherence tomography showed a full thickness macular hole with elevated cystoid edges in the right eye. The patient was diagnosed with macular hole secondary to preeclampsia and followed up for spontaneous closure. One month after the first visit, surgical intervention was suggested due to declining vision. Three months later, the patient agreed to surgery. She underwent pars plana vitrectomy with a temporal inverted internal limiting membrane flap and C3F8 endotamponade, which provided anatomic and visual improvement.
我们报告一例年轻女性，其右眼视力下降。一个月前，她在妊娠22周时出现严重子痫前期，随后终止妊娠。眼底检查显示双侧黄斑区有棉絮斑和硬性渗出物，右眼黄斑中心凹处有一个黄斑。光学相干断层扫描显示右眼有一个全层黄斑裂孔，囊样边缘隆起。该患者被诊断为子痫前期继发黄斑裂孔，并进行随访观察其是否自发闭合。首次就诊一个月后，由于视力下降建议进行手术干预。三个月后，患者同意手术。她接受了经平坦部玻璃体切除术，采用颞侧倒置的内界膜瓣和C₃F₈眼内填充，术后解剖结构和视力均得到改善。
