Bilateral Serous Retinal Detachment in Preeclampsia: Case Report

2017 ◽  
Vol 71 (2) ◽  
pp. 143-145
Author(s):  
Ivo Kjaev ◽  
Jana Kjaeva Nivicka ◽  
Sasha Kjaeva ◽  
Dafina Karadjova ◽  
Irena Aleksioska ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Case Report ◽  
Retinal Detachment ◽  
Medical Condition ◽  
Post Partum ◽  
Rare Complication ◽  
Serous Retinal Detachment ◽  
Initial Assessment ◽  
Ocular Involvement ◽  
Ocular Ultrasound

Abstract Introduction. Preeclampsia presents a medical condition in pregnancy that is manifested with increased blood pressure and protein urine. Ocular involvement is rare. Retinal detachment in preeclampsia is a rare complication; it only occurs in 1-2% of severe preeclampsia but in 10% of those with eclamptic seizures. Case report. A pregnant patient G1P0 visited the outpatient clinic of the University Clinic for Ophthalmology complaining on visual disturbances. The chief complaint was blurred vision and headaches. She was in 31 week of gestation and complained that she had increased blood pressure over the last month. After initial assessment she was suspected of central serous retinal ablation (CSCR). Ocular ultrasound and posterior segment OCT (optical coherence tomography) confirmed the diagnosis. Treatment and outcome. Obstetric examination confirmed high blood (TA180/130) pressure with dipstick urine showing(+++). Unfortunately, the ultrasound showed an eutrophic pregnancy in 31 g.w. with fetus mortus inutero. The patient was administered to the intensive care unit. She had an ophthalmologic check-upat 2 weeks and one month post-partum that showed regression and visual acuity was getting better. The final check-up after 6 months revealed that retina was in place with no subretinal substantial fluid and no macular edema. Conclusion. Serous retinal detachment is a rare complication of preeclampsia. In most case it resolves spontaneously few weeks post delivery.

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

CJEM ◽  
2015 ◽  
Vol 18 (5) ◽  
pp. 395-398 ◽  
Author(s):  
Jordan Chenkin ◽  
Claire L. Heslop ◽  
Cori R. Atlin ◽  
Michael Romano ◽  
Tomislav Jelic
Keyword(s):  
Blood Pressure ◽  
Case Report ◽  
Caesarean Section ◽  
Vision Loss ◽  
Point Of Care ◽  
Rare Complication ◽  
Severe Preeclampsia ◽  
Point Of Care Ultrasound ◽  
Elevated Blood ◽  
Ocular Ultrasound

AbstractBilateral 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. Point-of-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.

scholarly journals Serous Retinal Detachment in Pre-eclampsia: Case Report and Literature Review

2020 ◽  
Vol 42 (11) ◽  
pp. 772-773
Author(s):  
Joana Teresa Botelho Vasconcelos Raposo ◽  
Bruna Carina Da Silva Melo ◽  
Nuno Filipe Bernardo Belo Maciel ◽  
Sara Dias Leite ◽  
Óscar Renato Coutinho Rebelo ◽  
...  
Keyword(s):  
Case Report ◽  
Retinal Detachment ◽  
Caesarean Delivery ◽  
Visual Loss ◽  
Rare Complication ◽  
Serous Retinal Detachment ◽  
Blurred Vision ◽  
Serous Macular Detachment ◽  
Choroidal Ischemia ◽  
Angiographic Findings

AbstractPre-eclampsia (PE) is an obstetric disease with a multifactorial cause that affects ∼ 5% of pregnant women. Vision can be affected with varying severity, and retinal detachment is a very rare complication. It tends to be bilateral, diagnosed postpartum, and more prevalent in women who are primiparous and/or undergo caesarean delivery. The condition typically resolves completely and rarely causes total visual loss in the affected women. Fluorescence angiographic findings support the hypothesis that retinal detachment in PE is secondary to choroidal ischemia from intense arteriolar vasospasm. The present article is related to a case of a 37-year-old pregnant woman who had PE associated with a progressive blurred vision, diagnosed by ophthalmology as serous macular detachment of the retina.

scholarly journals Preeclamptic serous retinal detachment without hypertension: A case report

2019 ◽  
Vol 21 ◽  
pp. e00098
Author(s):  
S. Ahmed Hussain ◽  
Brendan J. O'Shea ◽  
Andrew S. Thagard
Keyword(s):  
Case Report ◽  
Retinal Detachment ◽  
Serous Retinal Detachment

Unexpected finding of an ablation catheter during thoracoscopic exploration for a spontaneous hemothorax – case report

2019 ◽  
Vol 98 (5) ◽  
pp. 223-226
Keyword(s):  
Case Report ◽  
Pleural Cavity ◽  
Medical Condition ◽  
Varicose Veins ◽  
Rare Complication ◽  
The Body ◽  
Unexpected Finding ◽  
Ablation Catheter ◽  
Left Pleural Cavity ◽  
Spontaneous Hemothorax

Varicose veins of lower extremities represent a common medical condition with minimally invasive percutaneous endovenous ablation techniques as a treatment of choice. A very rare complication is a catheter migration in the deep venous system. In the literature only 7 cases have been published so far, with only 2 cases with migration to the systemic circulation and heart involvement. In this paper we present an interesting case report from the perspective of a thoracic surgeon with the finding of a laser ablation catheter remnant in the left pleural cavity during thoracoscopic exploration for a spontaneous hemothorax in a 47-year old male patient after collapse. A similar complication affecting the pleural cavity has not been published before. In this paper we discuss possible routes of the cathether migration into the left pleural cavity, impending complications when a part of the catheter is left behind in the body and the means of prevention of these serious potentially fatal complications even after many years following the initial treatment.

scholarly journals Unilateral Vogt-Koyanagi-Harada Disease: A Clinical Case Report

2015 ◽  
Vol 6 (3) ◽  
pp. 361-365 ◽  
Author(s):  
Arminda Neves ◽  
Ana Cardoso ◽  
Mariana Almeida ◽  
Joana Campos ◽  
António Campos ◽  
...  
Keyword(s):  
Visual Acuity ◽  
Case Report ◽  
Retinal Detachment ◽  
Serous Retinal Detachment ◽  
Subretinal Fluid ◽  
Posterior Pole ◽  
Exudative Retinal Detachment ◽  
The Right ◽  
Clinical Records ◽  
Vkh Disease

Purpose: To report a case of a 20-year-old female with decreased visual acuity (VA) in the left eye (LE). Methods: This is a retrospective and descriptive case report based on data from clinical records, patient observation and analysis of diagnostic tests. Results: A 20-year-old female presented with decreased VA in the LE for 3 days. Best-corrected visual acuity (BCVA) was 20/20 in the right eye (RE) and 20/40 in the LE. Pupillary function, intraocular pressure, results of external segment examinations and slit-lamp biomicroscopy were normal, bilaterally. RE fundoscopy was normal, and in the LE it revealed papillitis and posterior pole exudative retinal detachment. Optical coherence tomography (OCT) confirmed the macular serous retinal detachment and showed thickening of the posterior choroid also revealed by orbital ultrasound and magnetic resonance imaging (MRI). Fluorescein angiography showed angiographic features typical of Vogt-Koyanagi-Harada (VKH) disease: disseminated spotted choroidal hyperfluorescence and choroidal multifocal hypofluorescence, multifocal profuse leakage in the retina with pooling, serous retinal detachment and optic disc hyperfluorescence. Serological testing for the diagnosis of infectious pathologies was negative, and the review of systems was normal. The patient received systemic steroids and cyclosporine. LE BCVA improved up to 20/20 at 18 months after the diagnosis, with complete reabsorption of subretinal fluid and normal retinal and choroidal thickness by OCT. Conclusion: Despite the unilateral involvement, the clinical and angiographic features were typical of VKH disease, and ophthalmologists should be aware to recognize this rare clinical variant of the disease.

scholarly journals Post typhoid fever neuroretinitis with serous retinal detachment and choroidal involvement-A case report

2021 ◽  
Vol 21 ◽  
pp. 101025
Author(s):  
Anadi Khatri ◽  
Bivek Wagle ◽  
K.C. Hony ◽  
Babu Dhanendra Chaurasiya ◽  
Satish Timalsena ◽  
...  
Keyword(s):  
Case Report ◽  
Retinal Detachment ◽  
Typhoid Fever ◽  
Serous Retinal Detachment

scholarly journals Recurrence of Pancreatic Cancer Presenting as Choroidal Metastasis: A Case Report

2021 ◽  
pp. 854-858
Author(s):  
Ebony Smith ◽  
Tuan Tran
Keyword(s):  
Pancreatic Cancer ◽  
Case Report ◽  
Retinal Detachment ◽  
Clinical Assessment ◽  
Central Serous Chorioretinopathy ◽  
Early Recognition ◽  
Locally Advanced ◽  
Serous Retinal Detachment ◽  
Advanced Pancreatic Cancer ◽  
Choroidal Metastasis

A patient initially diagnosed as having central serous chorioretinopathy (CSC) presented to a clinic with recurrence of pancreatic cancer manifesting as choroidal metastasis. He was initially diagnosed with CSC by a local ophthalmologist 8 weeks earlier and subsequently presented to our clinic for second opinion after further loss of vision. His medical history was significant for locally advanced pancreatic cancer that was resected by pancreaticoduodenectomy and was treated with adjuvant Folfirinox chemotherapy that was completed 12 months earlier. On examination, there was a large serous retinal detachment overlying a large pale ill-defined elevated choroidal lesion. A diagnosis of choroidal metastasis from recurrence of his pancreatic cancer was made. The diagnosis of choroidal metastasis of his pancreatic cancer represented recurrence of his pancreatic cancer that is associated with high mortality. Early recognition by clinical assessment may allow timely management with chemotherapy and radiation, and potentially prolong survival.

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