Dornan K J, Mallek D R, Wittmann B K
Obstet Gynecol. 1982 Nov;60(5):657-63.
Retinal detachment is a rare complication of preeclampsia. In 24,920 consecutive deliveries from 1970 at the Vancouver General Hospital, preeclampsia was diagnosed in 1435 patients (5.76%), and in 2 cases serous retinal detachment occurred. Despite spontaneous retinal reattachment, focal pigmentary macular disturbances with visual impairment may persist. Serial examination of the optic fundi, visual acuity, and central visual field assessment by Amsler grid are simple, indispensable tests that will help identify the visually threatened patient with severe preeclampsia. Timely obstetric intervention in severe cases is suggested.
视网膜脱离是先兆子痫的一种罕见并发症。在温哥华总医院1970年以来连续的24920例分娩中，1435例患者（5.76%）被诊断为先兆子痫，其中2例发生了浆液性视网膜脱离。尽管视网膜自发复位，但伴有视力损害的局灶性黄斑色素紊乱可能会持续存在。对眼底进行系列检查、检测视力以及通过阿姆斯勒方格表评估中心视野，这些都是简单且必不可少的检查，有助于识别患有严重先兆子痫且视力受到威胁的患者。建议对严重病例及时进行产科干预。
