Özkan KOCAMIŞ, Emine TEMEL, Kemal ÖRNEK, Nazife Aşıkgarip

Bilateral serous macular detachment as a complication of preeclampsia: A case report

The objective of the study was to report a case of preeclamptic pregnant woman with bilateral serous macular detachment following cesarean section. This is a case report of a 29-year-old pregnant woman with bilateral serous macular detachment following cesarean section due to severe preeclampsia. The patient applied with a complaint of sudden vision blur in both eyes after an emergent cesarean delivery. Ophthalmologic examination revealed visual acuity of 1/10 on the right eye and 4/10 on the left eye. She had bilateral serous macular detachment. Within 10 days, visual acuity improved to 7/10 in both eyes. Optical coherence tomography revealed disappearance of the subretinal fluid with distribution of retinal photoreceptor layer in both eyes. Preeclampsia may lead to a transient serous macular detachment with visual sequelae.

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1. American College of Obstetricians and Gynecologists; Task Force on Hypertension in Pregnancy Hypertension in pregnancy. Report of the American college of obstetricians and gynecologists’ task force on hypertension in pregnancy. Obstet Gynecol 2013;122(5):1122–31.
2. Al-Jameil N, Khan FA, Khan MF, Tabassum H. A brief overview of preeclampsia. J Clin Med Res 2014;6(1):1–7.
3. Bosco JA. Spontaneous nontraumatic retinal detachment in pregnancy. Am J Obstet Gynecol 1961;82:208–12.
4. Jaffe G, Schatz H. Ocular manifestation of preeclampsia. Am J Ophthalmol 1987;103(3 Pt 1):304–15.
5. Schultz KL, Birnbaum AD, Goldstein DA. Ocular disease in pregnancy. Curr Opin Ophthalmol 2005;16(5):308–14.
6. Chart S, Azzam D, Ronquillo Y. Snellen Chart. Treasure Island, FL: StatPearls Publishing; 2020.
7. Aumann S, Donner S, Fischer J, Müller F. Optical coherence tomography (OCT): Principle and technical realization. In: Bille JF, editor. High Resolution Imaging in Microscopy and Ophthalmology: New Frontiers in Biomedical Optics. Ch. 3. Cham, CH: Springer; 2019.
8. Dinn RB, Harris A, Marcus PS. Ocular changes in pregnancy. Obstet Gynecol Surv 2003;58(2):137–44.
9. Tso MO, Jampol LM. Pathophysiology of hypertensive retinopathy. Ophthalmology 1982;89(10):1132–45.
10. Kishi S, Tso MO, Hayreh SS. Fundus lesions in malignant hypertension. A pathologic study of experimental hypertensive choroidopathy. Arch Ophthalmol 1985;103(8):1189–97.
11. Bourke K, Patel MR, Prisant LM, Marcus DM. Hypertensive choroidopathy. J Clin Hypertens (Greenwich) 2004;6(8):471–2.
12. Srećković SB, Janićijević-Petrović MA, Stefanović IB, Petrović NT, Sarenac TS, Paunović SS. Bilateral retinal detachment in a case of preeclampsia. Bosn J Basic Med Sci 2011;11(2):129–31.
13. Gupta R, Sheidow T. Bilateral serous retinal detachment in association with preeclampsia. Can J Ophthalmol 2019;54(3):e98–100.
14. Jayaraj S, Samanta R, Puthalath AS, Subramanian K. Pre-eclampsia associated bilateral serous retinal detachment. BMJ Case Rep 2020;13(9):e238358.