تقرير
Bilateral Exudative Retinal Detachments, Chemosis, and Impaired Ocular Motility in the Setting of Preeclampsia and HELLP Syndrome.
| العنوان: | Bilateral Exudative Retinal Detachments, Chemosis, and Impaired Ocular Motility in the Setting of Preeclampsia and HELLP Syndrome. |
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| المؤلفون: | Govindaraju VK; Beaumont Eye Institute, Oakland University William Beaumont School of Medicine, Royal Oak, MI, USA., Schimmel OC; Beaumont Eye Institute, Oakland University William Beaumont School of Medicine, Royal Oak, MI, USA., Trese MGJ; Beaumont Eye Institute, Oakland University William Beaumont School of Medicine, Royal Oak, MI, USA.; Associated Retinal Consultants, Oakland University William Beaumont Hospital, Royal Oak, MI, USA., Garretson BR; Associated Retinal Consultants, Oakland University William Beaumont Hospital, Royal Oak, MI, USA., Faia LJ; Beaumont Eye Institute, Oakland University William Beaumont School of Medicine, Royal Oak, MI, USA.; Associated Retinal Consultants, Oakland University William Beaumont Hospital, Royal Oak, MI, USA. |
| المصدر: | Journal of vitreoretinal diseases [J Vitreoretin Dis] 2022 May 18; Vol. 6 (3), pp. 255-258. Date of Electronic Publication: 2022 May 18 (Print Publication: 2022). |
| نوع المنشور: | Case Reports |
| اللغة: | English |
| بيانات الدورية: | Publisher: Sage Publications Country of Publication: United States NLM ID: 101700301 Publication Model: eCollection Cited Medium: Internet ISSN: 2474-1272 (Electronic) Linking ISSN: 24741264 NLM ISO Abbreviation: J Vitreoretin Dis Subsets: PubMed not MEDLINE |
| أسماء مطبوعة: | Original Publication: Thousand Oaks, CA : Sage Publications, [2017]- |
| مستخلص: | Purpose: We present a complication of preeclampsia and hemolysis, elevated liver enzymes, and low platelet (HELLP) syndrome including bilateral exudative retinal detachments, bullous chemosis, and impaired ocular motility. Methods: The patient was followed in the inpatient and outpatient setting with clinical examinations, optical coherence tomography, widefield fundus photography, neuroimaging including magnetic resonance imaging of the brain/orbits, as well as carotid artery ultrasonography. Results: Our patient was admitted with bilateral vision changes in the setting of preeclampsia and HELLP syndrome and was found to have bilateral exudative detachments, retinal exudation, severe bullous chemosis, and impaired motility. She was started on intravenous dexamethasone followed by an extended prednisone taper with resolution of her ocular findings and return of her vision to baseline. Conclusions: There is evidence that HELLP syndrome and preeclampsia are proinflammatory syndromes. Aggressive blood pressure control, corticosteroids, and a multidisciplinary approach might accelerate visual and systemic recovery in these complex cases. Competing Interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. (© The Author(s) 2022.) |
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| فهرسة مساهمة: | Keywords: HELLP; chemosis; corticosteroids; exudative detachment; preeclampsia |
| تواريخ الأحداث: | Date Created: 20230403 Latest Revision: 20230519 |
| رمز التحديث: | 20231215 |
| مُعرف محوري في PubMed: | PMC9976124 |
| DOI: | 10.1177/24741264221083402 |
| PMID: | 37008554 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 2474-1272 |
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| DOI: | 10.1177/24741264221083402 |