Central retinal vein occlusion and HELLP syndrome
| Autor: | José M. Olivan, Francisco M. Honrubia, Lucía B. Izaguirre, Isabel Pinilla, Emilio Abecia, F. Gonzalvo |
|---|---|
| Rok vydání: | 2000 |
| Předmět: |
Adult
HELLP Syndrome medicine.medical_specialty Visual acuity Fundus Oculi HELLP syndrome Visual Acuity Preeclampsia Ophthalmoscopy Central retinal vein occlusion Pregnancy Retinal Vein Occlusion Electroretinography medicine Humans Fluorescein Angiography Macular edema medicine.diagnostic_test business.industry Retinal Hemorrhage medicine.disease Retinal Vein Surgery Ophthalmology Decreased Visual Acuity Female medicine.symptom business |
| Zdroj: | Acta Ophthalmologica Scandinavica. 78:596-598 |
| ISSN: | 1395-3907 |
| DOI: | 10.1034/j.1600-0420.2000.078005596.x |
| Popis: | Purpose: To present a rare case of central retinal vein occlusion in conjunction with the HELLP syndrome. Methods: A 30-year-old woman presented in the 28th week of her second pregnancy with severe pre-eclampsia with HELLP syndrome; delivery by caesarean section was recommended. Ten days later, the patient complained of severely decreased visual acuity in her right eye. Results: Ophthalmoscopy revealed a central retinal vein occlusion with venous engorgement and tortuosity, multiple flame hemorrhages, and disc and macular edema. Electroretinography revealed a reduction of b-wave/a-wave ratio. Fluorescein-angiography showed a blockage due to extensive retinal hemorrhages with late mild staining of the walls of veins. The patient presented a spontaneous improvement in visual acuity (0.8 two months after) and a complete resolution of ophthalmoscopic findings. Conclusion: Ophthalmic complications are possible during and soon after this syndrome. This is the first description of a patient suffering a central retinal vein occlusion during puerperium after the HELLP syndrome. |
| Databáze: | OpenAIRE |
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