Serous Retinal Detachment in Preeclampsia (SD-OCT)
Serous Retinal Detachment in Preeclampsia (SD-OCT)
SD-OCT in OD: subretinal fluid, hyporeflective area between retinal pigment epithelium and neurosensory retina, equivalent to serous retinal detachment.
Patient: 35 years of age, female, BCVA 1.0 at OD, 0.5 at OS, IOP 16/15 mmHg.
Ocular Medical History: blurred vision in left eye in perinatal period.
General Medical History: in 32th week of pregnancy severe preeclampsia, pregnancy was terminated by cesarean section at 32 gestational weeks.
Purpose: to present choriodal changes in preeclampsia.
Methods: Colour Photography Posterior Segment, SD-OCT Heidelberg Engineering.
Findings:
Colour Photography Posterior Segment in OD and OS: serous retinal detachment, retinal hemorrhage.
SD-OCT in OD and OS: subretinal fluid, hyporeflective area between retinal pigment epithelium and neurosensory retina, equivalent to serous retinal detachment.
Discussion: Preeclampsia is associated with acute increases in blood pressure leading to a choroidopathy. Nonperfused areas of the choriocapillaris cause changes of overlying retinal pigment epithelium, resulting in neurosensory detachments. 1, 2.
Literature:
(1) Dewilde E, Huygens M, Cools G, Van Calster J.Hypertensive choroidopathy in pre-eclampsia: two consecutive cases. Ophthalmic Surg Lasers Imaging Retina. 2014 Jul-Aug;45(4):343-6.
(2) Bartczak A, Kraśnicki P, Urban R, Laudaiński T, Mariak Z. Bilateral serous retinal detachment in preeclampsia--a case report. Klin Oczna. 2014;116(1):21-3.
Weller, Julia, Dr.med., Augenklinik, Universitätsklinikum Erlangen, Erlangen, Deutschland, Erlangen, Deutschland; Augustin, Victor, Dr.med., Augenklinik, Universitätsklinikum Erlangen, Erlangen, Deutschland, Erlangen, Deutschland; Michelson, Georg, Prof. Dr. med., Interdisziplinäres Zentrum für augenheilkundliche Präventivmedizin und Imaging, Augenklinik, Universität Erlangen-Nürnberg, Erlangen, Deutschland