A clinical case of bilateral exudative retinal detachment against the background of severe preeclampsia

Cover Page


Cite item

Full Text

Open Access Open Access
Restricted Access Access granted
Restricted Access Subscription or Fee Access

Abstract

This article describes a clinical case of a bilateral exudative retinal detachment development in a young woman with severe preeclampsia. The data of the ophthalmological examination, as well as those of the dynamic observation of the patient, are presented. The possible mechanisms of the formation of exudative retinal detachment on the background of preeclampsia are considered in detail. The described clinical case is of great interest, since this condition is a rare complication in preeclampsia. Exudative retinal detachment against the background of preeclampsia requires adherence to bed rest, normalization of blood pressure, control of proteinuria and, as a rule, does not require surgical intervention.

Full Text

Restricted Access

About the authors

Oleg V. Kolenko

S.N. Fyodorov Eye Microsurgery Federal State Institution, the Khabarovsk Branch; Postgraduate Institute for Public Health Workers

Author for correspondence.
Email: naukakhvmntk@mail.ru
ORCID iD: 0000-0001-7501-5571
SPIN-code: 5775-5480
Scopus Author ID: 6506683725
ResearcherId: AAI-2976-2020

Dr. Sci. (Med.)

Russian Federation, 211 Tikhookeanskaya str., Khabarovsk, 680033; Khabarovsk

Anastasia A. Fil

Postgraduate Institute for Public Health Workers

Email: naukakhvmntk@mail.ru
ORCID iD: 0000-0002-3846-3647
SPIN-code: 6927-1941

Researcher

Russian Federation, Khabarovsk

Evgenii L. Sorokin

S.N. Fyodorov Eye Microsurgery Federal State Institution; Far-Eastern State Medical University

Email: naukakhvmntk@mail.ru
ORCID iD: 0000-0002-2028-1140
SPIN-code: 4516-1429
Scopus Author ID: 7006545279
ResearcherId: AAI-2986-2020

Dr. Sci. (Med.), Professor

Russian Federation, 211 Tikhookeanskaya str., Khabarovsk, 680033; Khabarovsk

References

  1. Adamyan LV, Artymuk NV, Bashmakova NV, et al. Gipertenzivnyye rasstroystva vo vremya beremennosti, v rodakh i poslerodovom periode. Preeklampsiya. Eklampsiya: klinicheskiye rekomendatsii (protokol lecheniya). Moscow; 2016. (In Russ.)
  2. Sarkisova EI, Orlov AV. Methods to predict severe forms of preeclampsia during early pregnancy. Meditsinskiy vestnik Yuga Rossii. 2013;(4):21–25. (In Russ.)
  3. Lambert G, Brichant JF, Hartstein G, et al. Preeclampsia: an update. Acta Anaesthesiologica Belgica. 2014;65(4):137–149.
  4. Evans AT. Manual of Obstetrics. Lippincott Williams & Wilkins; 2007.
  5. Magee LA, Ornstein MP, von Dadelszen P. Management of hypertension in pregnancy. BMJ. 1999;318(7194):1332–1336. doi: 10.1136/bmj.318.7194.1332
  6. Sreckovic SB, Janicijevic-Petrovic MA, Stefanovi IB, et al. Bilateral retinal detachment in a case of preeclampsia. Bosnian Journal of Basic Medical Sciences. 2011;11(2):129–131. doi: 10.17305/bjbms.2011.2598
  7. Ober RR. Pregnancy induced hypertension (preeclampsia-eclampsia). In: Ryan SJ, ed. Retina. Vol 2. 2nd ed. St Louis: Mosby; 1994. P. 1405–1412.
  8. Kjaev I, Nivicka JK, Kjaeva S, et al. Bilateral serous retinal detachment in preeclampsia: case report. Macedonian Medical Review. 2017;71(2):143–145. doi: 10.1515/mmr-2017-0026
  9. Kolenko OV. Sistema prognozirovaniya i profilaktiki retinal’nykh sosudistykh rasstroystv u zhenshchin posle perenesennoy preeklampsii [dissertation]. Moscow; 2020. (In Russ.)
  10. Spaide RF, Goldbaum M, Wong DWK, et al. Serous detachment of the retina. Retina. 2003;23(6):820–846. doi: 10.1097/00006982-200312000-00013
  11. Saito Y, Tano Y. Retinal pigment epithelial lesions associated with choroidal ischemia in preeclampsia. Retina. 1998;18:103–108. doi: 10.1097/00006982-199818020-00002
  12. Ahmed Hussain S, O’Shea BJ, Thagard AS. Preeclamptic serous retinal detachment without hypertension: A case report. Case Rep Womens Health. 2019;21: e00098. doi: 10.1016/j.crwh.2019.e00098
  13. Belotserkovtseva LD, Zinin VN, Fateyeva AV, et al. Klinicheskiy sluchay preeklampsii, oslozhnennoy dvukhstoronney otsloykoy setchatki. Vestnik SURGU. Meditsina. 2010;3(6):92–95. (In Russ.)
  14. Zuev AV, Pedanova EK, Kolesnik SV, Kolesnik AI. Bilateral’naya ekssudativnaya otsloyka setchatki na fone preeklampsii beremennykh. Klinicheskiy sluchay. Modern Technologies in Ophthalmology. 2015;(1):68–70. (In Russ.)
  15. Chumanova OV. Case of the heavy preeclampsia complicated by development of premature amotio of normally located placenta and bilateral amotio of the retina. Vestnik Nauki i Obrazovaniya. 2019;(8–2):60–63. (In Russ.)
  16. Bartczak A, Kraśnicki P, Urban R, et al. Bilateral serous retinal detachment in preeclampsia – a case report. Eye wedge. 2014;116(1):21–23.
  17. Afanasyev AA, Smirnova OV, Rzevskaya NA, Martyushova EA. Oxidative stress and preeclampsia. Siberian Journal of Life Sciences and Agriculture. 2019;11(4):107–116. (In Russ.) doi: 10.12731/2658-6649-2019-11-4-107-117
  18. Zorina VN, Levchenko VG, Zorin NA. The regulatory transport proteins in diagnostic and prognosis of preeclampsia. Russian Clinical Laboratory Diagnostics. 2016;61(8):470–473. (In Russ.) doi: 10.18821/0869-2084-61-8-470-473
  19. Reznik VA. New data on the pathogenesis of preeclampsia. Regional blood circulation and microcirculation. 2018;17(4):4–10. (In Russ.) doi: 10.24884/1682-6655-2018-17-4-4-10

Supplementary files

Supplementary Files
Action
1. JATS XML
2. Fig. 1. Fundus photographs of the female patient M., 19 years old. In the macular area, unequal distribution of pigment and areas of atrophy of the retinal pigment epithelium are present: а − right eye; b − left eye

Download (377KB)
3. Fig. 2. Results of optical coherence tomography of the female patient M., 19 years old: а − right eye, flat subfoveolar neuroepithelial detachment with alteration of photoreceptors; b − left eye, subretinal protein deposition in the macular area

Download (244KB)
4. Fig. 3. Results of optical coherence tomography of the right eye after 2 weeks of the female patient M., 19 years old. Absence of neuroepithelial detachment

Download (107KB)

Copyright (c) 2021 Kolenko O.V., Fil A.A., Sorokin E.L.

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.

СМИ зарегистрировано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор).
Регистрационный номер и дата принятия решения о регистрации СМИ: серия ПИ № ФС 77-65574 от 04 мая 2016 г.


This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies