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11 - Case report of bilateral serous (exudaative) retinal detachment rarely seen in severe preeclampia
Alev Atış, Filiz Çiftçi, Taylan Tutuman, Çağrı Türker, Nimet Göker, Nihal Balcıoğlu
Preeclampsia is an obstetric disease of unknown cause that affects approximately 5% of pregnant women, which is characterized by hypertension, proteinuria and extensive edema seen after 20th week of pregnancy. Severe pregnancy is characterized by systemic hypertension above 160/110 mmHg, proteinuria above 5 gr/24 hr, oliguria (<500 ml/day), trombocytopenia, cerebral and visual disturbances, epigastric pain, pulmonary edema and cyanosis. The visual system may be affected with variable intensity, being the retinal detachment a rare complication. The retinal detachment in preeclampsia is usually bilateral and serous, and its pathogenesis is related to the choroidal ischemia secondary to an intense arteriolar vasospasm. This is a case report of a 23 year old patient who developed the severe form of preeclampsia on her first pregnancy. She had progressive blurred vision, Ophthalmic examination diagnosed spread and bilateral retinal detachment. With blood pressure control at the postpartum period, the patient had her retina reattached, and recovery of vision.
Keywords: Severe Preeclampsi, exudative retinal detachment, preeclampsia, choroidal ischemia
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