Retinal disorders in preeclampsia studied with optical coherence tomography

PURPOSE: To report optical coherence tomography (OCT) of retinal disorders in preeclampsia. DESIGN: Observational case report. METHODS: A 24-year-old woman developed hypertension (190/100 mm Hg), proteinuria, and generalized edema in the 34th week of pregnancy. Soon after undergoing a cesarean secti...

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Bibliographic Details
Published in:American journal of ophthalmology 2002-05, Vol.133 (5), p.707-709
Main Authors: Theodossiadis, Panagiotis G., Kollia, Anastasia K., Gogas, Panagiotis, Panagiotidis, Dimitrios, Moschos, Michael, Theodossiadis, George P.
Format: Article
Language:English
Subjects:
Adult
Biological and medical sciences
Diagnostic Techniques, Ophthalmological
Diseases of mother, fetus and pregnancy
Female
Gynecology. Andrology. Obstetrics
Humans
Interferometry
Investigative techniques, diagnostic techniques (general aspects)
Light
Macular Edema - diagnosis
Macular Edema - etiology
Medical sciences
Ophthalmology
Pre-Eclampsia - complications
Pre-Eclampsia - diagnosis
Pregnancy
Pregnancy. Fetus. Placenta
Radiodiagnosis. Nmr imagery. Nmr spectrometry
Respiratory system
Retinal Diseases - diagnosis
Retinal Diseases - etiology
Retinopathies
Tomography - methods
Visual Acuity
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Summary:PURPOSE: To report optical coherence tomography (OCT) of retinal disorders in preeclampsia. DESIGN: Observational case report. METHODS: A 24-year-old woman developed hypertension (190/100 mm Hg), proteinuria, and generalized edema in the 34th week of pregnancy. Soon after undergoing a cesarean section, she noted severe impairment of vision in both eyes. RESULTS: Ten days after delivery, OCT showed a diffuse intraretinal edema that was still present but in a minor degree 2 months later. Eight months after delivery, macular edema had resolved, but the highly reflective band of retinal pigment epithelium (RPE) and choriocapillaris was thickened with focal elevations corresponding to the Elschnig spots. CONCLUSION: In the acute phase of preeclampsia, OCT revealed a diffuse increase in macular thickness. Two months after delivery, macular edema still existed but in a minor degree. Eight months after the first examination, OCT depicted restoration of the contour of the fovea. Moreover, OCT showed the characteristic RPE focal elevations and abnormalities corresponding to the Elschnig spots.
ISSN:0002-9394
1879-1891
DOI:10.1016/S0002-9394(01)01430-1