Bilateral retinal detachment in a case of preeclampsia

Srećković, Sunčica; Janicijevic-Petrovic, Mirjana; Stefanovic, Ivan; Petrović, Nenad T.; Šarenac, Tatjana; Paunović, Svetlana

doi:10.17305/bjbms.2011.2598

Cited by 20 publications

(26 citation statements)

References 11 publications

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“…[19] Other causes of blindness in preeclampsia are exudative retinal detachment and hypertensive retinopathy. [20] The neonatal complications associated with preeclampsia include intrauterine growth retardation, Intrauterine deaths, complications associated with preterm deliveries, intracranial haemorrhage, respiratory distress, surfactant deficiency induced hyaline membrane disease, neonatal sepsis, bronchopulmonary dysplasia and need for NICU admissions. [21] As the only definitive management of severe eclampsia is delivery it becomes of utmost importance to keep in mind the effect such a preterm delivery might have on newborn.…”

Section: Discussionmentioning

confidence: 99%

Maternal and Fetal Outcome in Eclampsia

Praveenkumar¹,

Patil²,

Pachpande³

2017

AIMDR

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Background: (1)To study maternal outcome in eclampsia in relation to respiratory complications, fever, DIC, renal system affection and electrolyte imbalance. (2) To study the fetal outcome in eclampsia in relation to small for gestational age, intrauterine death, neonatal mortality, perinatal mortality and need for NICU admission.Study Design: It was a crosssectional prospective study conducted at Government Medical College Nagpur over a period of 3 months (14 May to 14 July). Methods: The study was approved by the Institutional ethical committee. All patients admitted in the department of obstetrics and gynaecology at government medical college Nagpur with eclampsia was enrolled for the study as per the criteria given. It was a a cross-sectional prospective study conducted from 14 May to 14 July (3 months) on women admitted with eclampsia after the gestational age of 20 weeks and presented with convulsions. The outcome in relation to maternal and neonatal morbidity and mortality was studied on the basis of various complications and defined parameters. Result: A total of 43 patients were enrolled in the study. The most common age group of patients who had eclampsia after 20 weeks of gestation belonged to age group of 21-25 years followed by more than 25 years and the least common age group was between 18-20 years of age. The mean age was found to be 24.23 years. Out of the studied cases 21 (48.83%) were primigravida and 22 (51.16%) were multigravidae. 16 (37.20%) patients visited doctor for ANC visits once or twice while 8 (18.60%) patients visited the doctor thrice, 9 patients made 4 ANC visits while 10 patients were such that they didn't made even a single ANC visit before getting admitted in our hospital with seizures. Patients with term pregnancies made up 34.88% of the total patients while 65.11% patients were preterm. The most common signs and symptoms seen in these patients were Headache (92%), Nausea and vomiting (90%), Epigastric pain (32%), anasarca (23%) and sudden blindness (6%). Out of 43 patients normal vaginal delivery took place in 22 (51.16%) and LSCS was done in 21 (48.83%) of the patients. The most common indication of LSCS in patients with eclampsia was fetal distress (47.61%) followed by unfavourable cervix (28.57%), failure of induction (14.28%) and contracted pelvis (9.52%). The most common complications seen in patients with eclampsia included Respiratory complications like aspiration pneumonia, pleural effusion and pulmonary oedema, which were seen in 11 (25.58%) patients followed by fever (23.25%) and haematuria (23.25%). The least common complications encountered were cardiomyopathy and cerebrovascular accidents which were seen in 2 patients (4.65%) each. Serious complications like disseminated intravascular coagulopathy, renal failure and deranged hepatic functions were seen in 16.27%, 6.97% and 13.95% respectively. convulsions to delivery interval was found to be a significant determinant of outcome and complications were found to be more common if this period exceeded more t...

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Section: Discussionmentioning

confidence: 99%

Maternal and Fetal Outcome in Eclampsia

Praveenkumar¹,

Patil²,

Pachpande³

2017

AIMDR

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“…[4][5][6][7][8] Bilateral retinal detachments have also been reported in association with serum sickness, 9 cytomegalovirus retinitis, 10 carotidcavernous fistula, 11 Marfan syndrome, 12 and nonaccidental pediatric injury 13 . In this case, the finding of bilateral retinal detachments, in combination with an elevated blood pressure, is what prompted us to consider the diagnosis of preeclampsia in a patient who did not know that she was pregnant.…”

Section: Discussionmentioning

confidence: 99%

Bilateral Retinal Detachments Caused by Severe Preeclampsia Diagnosed with Point-of-Care Ultrasound

Chenkin

Heslop

Atlin

et al. 2015

CJEM

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Bilateral retinal detachments are a rare complication of preeclampsia. We present a case report of a patient with an unknown pregnancy who presented with acute bilateral vision loss and elevated blood pressure. Pointof-care ocular ultrasound revealed bilateral retinal detachments. She was diagnosed with severe preeclampsia and taken for an urgent caesarean section with the delivery of a 26-week-old infant. RÉSUMÉLe décollement bilatéral de la rétine est une complication rare de la prééclampsie. Sera exposé ici le cas d'une femme enceinte mais ignorante de son état, examinée pour une perte bilatérale aiguë de la vision et une pression artérielle élevée. Une échographie de l'oeil, effectuée au lieu d'intervention a révélé un décollement bilatéral de la rétine. Un diagnostic de prééclampsie grave a été posé, et on a procédé à une césarienne d'urgence pour extraire un foetus de 26 semaines.

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“…On the other hand, if there is excessive necrosis in the retinal pigment epithelium, permanent loss of vision may occur. [23] Lee et al reported that ocular symptoms and visual sequelas usually become reversed with the immediate termination of the pregnancy. [24] In our study, we observed that the retinal detachments of the patients, who were followed up after labor, recovered without the need of surgical procedure.…”

Section: Discussionmentioning

confidence: 99%

The evaluation of the retinal findings in the fundoscopic examination of the preeclampsia patients

Kalaycı¹,

Şahin²

2020

Perinatal J

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Preeklampsi hastalar›n›n göz dibi muayenesinde retina bulgular›n›n de¤erlendirilmesi Amaç: Bu çal›flmada amaç, hafif ve fliddetli preeklampsi hastalar›-n›n göz dibi retinal bulgular›n› de¤erlendirmek ve karfl›laflt›rmak-t›r. Yöntem: Ocak 2017-Ocak 2020 tarihleri aras›nda Somali Mogadiflu-Türkiye E¤itim ve Araflt›rma Hastanesi'ne baflvuran ve preeklampsi tan›s›yla kad›n hastal›klar› ve do¤um servisine yat›fl› gerçeklefltirilip göz konsültasyonu istenen 165 hastan›n verileri retrospektif olarak de¤erlendirildi. Hastalar yafl, gestasyon haftas›, do¤um tekni¤i (sezaryen-normal do¤um) ve preeklampsinin seviyesine (hafif-fliddetli) göre s›n›fland›r›ld›. Sa¤ veya solda veya her iki gözde hipertansif retinopati de¤ifliklikleri izlenen hastalar, bulgular aç›s›ndan pozitif olarak kaydedildi. Bulgular: Göz dibi muayenesi yap›lan 165 hastan›n 104'ünde (%63.1) patolojik bulgu gözlenmezken, 61 (%36.9) hastada retinal patoloji gözlenmifltir. Göz dibi bulgular›nda patoloji saptanan has-talar›n 39'u (%63.9) fliddetli preeklamptik, 22'si (%36.1) hafif preeklamptikti. Bu 61 hastadan 51'inin (%83.6) gebeli¤i preterm (<37. gestasyonel hafta), 10'unun (%16.4) ise term (≥37. gestasyonel hafta) olarak sonland›r›lm›flt›. Retinal patoloji saptanan 61 hastan›n 36's›nda (%59) hipertansif retinopati, 9'unda (%14.8) maküla ödemi, 6's›nda (%9.8) hipertansif hemoraji, 4'ünde (%6.6) pigment epitel dekolman›, 2'sinde (%3.3) bilateral retina dekolman›, 2'sinde (%3.3) sol retina dekolman›, 2'sinde de (%3.3) bilateral optik diskte ödem izlendi. Sonuç: Preeklampsi olan gebelerde görsel flikayetler çok yayg›n olmakla birlikte retina dekolman›, pigment epitel dekolman›, maküla ödemi ve papilla ödemi gibi nadir fakat ciddi komplikasyonlar da ortaya ç›kabilir. Preeklamptik gebelerin fundus muayenesi esnas›nda hipertansif retinopati d›fl›nda di¤er retinal hastal›klar da ak›lda tutulmal›d›r. Klinisyenler bu oküler belirtilerin fark›nda ol-mal› ve gebelikte veya sonras›nda oluflabilecek körlükleri engellemek için ifl birli¤i içinde çal›flmal›d›r. Görme kayb› geliflen preeklamptik gebede, gebeli¤in sonland›r›lmas› görmenin yeniden kaza-n›lmas›nda etkili görünmektedir.

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Bilateral retinal detachment in a case of preeclampsia

Cited by 20 publications

References 11 publications

Maternal and Fetal Outcome in Eclampsia

Maternal and Fetal Outcome in Eclampsia

Bilateral Retinal Detachments Caused by Severe Preeclampsia Diagnosed with Point-of-Care Ultrasound

The evaluation of the retinal findings in the fundoscopic examination of the preeclampsia patients

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