Gynecology and Obstetrics Research · Vol. 1, No. 1 · 2014 · pp. 6–7 · e-ISSN 2377-1542

Bilateral Bullous Retinal Detachment in a Case of Preeclampsia

Catarina Policiano, Inês Pereira, Cláudia Araújo, Alexandre Valentim-Lourenço, Luís M. Graça

DOI: https://doi.org/10.17140/goroj-1-102 · Published 2014-11-14 · Licence: https://creativecommons.org/licenses/by/4.0 · © 2014 The Author(s)

Abstract

A 30-year-old caucasian primigravida was diagnosed with arterial hypertension at 34 weeks of gestation. At 36th week, labor induction was performed for severe preeclampsia. During labor, blood pressure was controlled with labetalol and convulsion prophylaxis was performed with magnesium sulfate. She had a vaginal delivery without complications and forty-eight hours later complained of intense fronto-occipital headache, blurred vision and metamorphopsia with a sudden decrease in visual acuity. Blood pressure during the postpartum period was 170/110 mm Hg.

Acknowledgements

The authors would like to thank Dr. Ana Fonseca for making the ophthalmologic diagnosis and for providing the images presented and Dr. Ana Aguiar for her contribution to the obstetrical management of the patient.

References

  1. Vigil-De-GraciaPOrtega-PazL. Retinal detachment in association with pre-eclampsia, eclampsia, and HELLP syndrome. Int J Gynaecol Obstet. 2011; 114: 223-225. doi: 10.1016/j. ijgo.2011.04.00310.1016/j.ijgo.2011.04.003 https://doi.org/10.1016/j.ijgo.2011.04.003
  2. MatthysLACoppageKHLambersDS. Delayed postpartum preeclampsia: An experience of 151 cases. Am J Obstet Gynecol. 2004; 190: 1464-1466. doi: 10.1016/j. ajog.2004.02.03710.1016/j.ajog.2004.02.037 https://doi.org/10.1016/j.ajog.2004.02.037
  3. MabieWCOberRR. Fluorescein angiography in toxaemia of pregnancy. Br J Ophthalmol. 1980; 64: 666-671
  4. TheodossiadisPGKolliaAKGogasP. Retinal disorders in preeclampsia studied with optical coherence tomography. Am J Ophthalmol. 2002; 133: 707-709.doi: 10.1016/ S0002-9394(01)01430-1
  5. BartonJRWitlinAGSibaiBM. Management of mild preeclampsia. Clin Obstet Gynecol 1999; 42: 455-469. 3,4