Diagnosis of serous neuroretinal detachments of the macula in severe preeclamptic patients with optical coherence tomography

G. M. Somfai, Kata Miháltz, Eszter Tulassay, J. Rigó

Research output: Contribution to journalArticle

17 Citations (Scopus)

Abstract

Objective: Visual symptoms are common in patients with preeclampsia, and are caused by various underlying pathological changes in the retina. Blurred vision may be one of these symptoms. We describe three cases in which the underlying retinal pathology of blurred vision was clarified using optical coherence tomography (OCT), a novel, non-invasive ophthalmic imaging technique that provides micrometer-scale resolution images of the human retina. Methods: Three patients with preeclampsia complained of blurred vision postpartum. In all cases, ophthalmoscopy was performed at the bed-side, followed by the assessment of best corrected visual acuity, slit-lamp biomicroscopy, fluorescein angiography (FLA), and OCT. In all cases, the presence of central visual defects was examined by an Amsler-grid. Results: In one case, the symptoms were bilateral. In all affected eyes, the patients complained of a relative central scotoma. Ophthalmoscopy showed edema in the affected maculae, while OCT examination clarified a serous neurosensory detachment of the macula. In one case, a neurosensory detachment was also detected in the papillomacular region of a fellow eye with no symptoms. In two cases, FLA was performed, but only in one case could we detect late leakage and subretinal exudates. The serous detachments observed showed total resolution in all cases within 5 to 10 weeks, with restoration of visual acuity. Conclusion: In patients with preeclampsia, OCT may provide a useful method for the precise assessment of retinal changes, distinguishing retinal edema from serous neurosensory detachments. This finding may help to clarify the pathophysiological circulatory changes seen in preeclampsia.

Original languageEnglish
Pages (from-to)11-20
Number of pages10
JournalHypertension in Pregnancy
Volume25
Issue number1
DOIs
Publication statusPublished - Jan 2006

Fingerprint

Optical Coherence Tomography
Pre-Eclampsia
Ophthalmoscopy
Fluorescein Angiography
Visual Acuity
Retina
Scotoma
Papilledema
Exudates and Transudates
Postpartum Period
Edema
Pathology

Keywords

  • Fluorescein angiography (FLA)
  • HELLP-syndrome
  • Optical coherence tomography (OCT)
  • Preeclampsia
  • Serous neurosensory retinal detachment

ASJC Scopus subject areas

  • Obstetrics and Gynaecology
  • Internal Medicine

Cite this

Diagnosis of serous neuroretinal detachments of the macula in severe preeclamptic patients with optical coherence tomography. / Somfai, G. M.; Miháltz, Kata; Tulassay, Eszter; Rigó, J.

In: Hypertension in Pregnancy, Vol. 25, No. 1, 01.2006, p. 11-20.

Research output: Contribution to journalArticle

@article{ee5375145ff246c78f79d8f1a25f027c,
title = "Diagnosis of serous neuroretinal detachments of the macula in severe preeclamptic patients with optical coherence tomography",
abstract = "Objective: Visual symptoms are common in patients with preeclampsia, and are caused by various underlying pathological changes in the retina. Blurred vision may be one of these symptoms. We describe three cases in which the underlying retinal pathology of blurred vision was clarified using optical coherence tomography (OCT), a novel, non-invasive ophthalmic imaging technique that provides micrometer-scale resolution images of the human retina. Methods: Three patients with preeclampsia complained of blurred vision postpartum. In all cases, ophthalmoscopy was performed at the bed-side, followed by the assessment of best corrected visual acuity, slit-lamp biomicroscopy, fluorescein angiography (FLA), and OCT. In all cases, the presence of central visual defects was examined by an Amsler-grid. Results: In one case, the symptoms were bilateral. In all affected eyes, the patients complained of a relative central scotoma. Ophthalmoscopy showed edema in the affected maculae, while OCT examination clarified a serous neurosensory detachment of the macula. In one case, a neurosensory detachment was also detected in the papillomacular region of a fellow eye with no symptoms. In two cases, FLA was performed, but only in one case could we detect late leakage and subretinal exudates. The serous detachments observed showed total resolution in all cases within 5 to 10 weeks, with restoration of visual acuity. Conclusion: In patients with preeclampsia, OCT may provide a useful method for the precise assessment of retinal changes, distinguishing retinal edema from serous neurosensory detachments. This finding may help to clarify the pathophysiological circulatory changes seen in preeclampsia.",
keywords = "Fluorescein angiography (FLA), HELLP-syndrome, Optical coherence tomography (OCT), Preeclampsia, Serous neurosensory retinal detachment",
author = "Somfai, {G. M.} and Kata Mih{\'a}ltz and Eszter Tulassay and J. Rig{\'o}",
year = "2006",
month = "1",
doi = "10.1080/10641950500543848",
language = "English",
volume = "25",
pages = "11--20",
journal = "Hypertension in Pregnancy",
issn = "1064-1955",
publisher = "Informa Healthcare",
number = "1",

}

TY - JOUR

T1 - Diagnosis of serous neuroretinal detachments of the macula in severe preeclamptic patients with optical coherence tomography

AU - Somfai, G. M.

AU - Miháltz, Kata

AU - Tulassay, Eszter

AU - Rigó, J.

PY - 2006/1

Y1 - 2006/1

N2 - Objective: Visual symptoms are common in patients with preeclampsia, and are caused by various underlying pathological changes in the retina. Blurred vision may be one of these symptoms. We describe three cases in which the underlying retinal pathology of blurred vision was clarified using optical coherence tomography (OCT), a novel, non-invasive ophthalmic imaging technique that provides micrometer-scale resolution images of the human retina. Methods: Three patients with preeclampsia complained of blurred vision postpartum. In all cases, ophthalmoscopy was performed at the bed-side, followed by the assessment of best corrected visual acuity, slit-lamp biomicroscopy, fluorescein angiography (FLA), and OCT. In all cases, the presence of central visual defects was examined by an Amsler-grid. Results: In one case, the symptoms were bilateral. In all affected eyes, the patients complained of a relative central scotoma. Ophthalmoscopy showed edema in the affected maculae, while OCT examination clarified a serous neurosensory detachment of the macula. In one case, a neurosensory detachment was also detected in the papillomacular region of a fellow eye with no symptoms. In two cases, FLA was performed, but only in one case could we detect late leakage and subretinal exudates. The serous detachments observed showed total resolution in all cases within 5 to 10 weeks, with restoration of visual acuity. Conclusion: In patients with preeclampsia, OCT may provide a useful method for the precise assessment of retinal changes, distinguishing retinal edema from serous neurosensory detachments. This finding may help to clarify the pathophysiological circulatory changes seen in preeclampsia.

AB - Objective: Visual symptoms are common in patients with preeclampsia, and are caused by various underlying pathological changes in the retina. Blurred vision may be one of these symptoms. We describe three cases in which the underlying retinal pathology of blurred vision was clarified using optical coherence tomography (OCT), a novel, non-invasive ophthalmic imaging technique that provides micrometer-scale resolution images of the human retina. Methods: Three patients with preeclampsia complained of blurred vision postpartum. In all cases, ophthalmoscopy was performed at the bed-side, followed by the assessment of best corrected visual acuity, slit-lamp biomicroscopy, fluorescein angiography (FLA), and OCT. In all cases, the presence of central visual defects was examined by an Amsler-grid. Results: In one case, the symptoms were bilateral. In all affected eyes, the patients complained of a relative central scotoma. Ophthalmoscopy showed edema in the affected maculae, while OCT examination clarified a serous neurosensory detachment of the macula. In one case, a neurosensory detachment was also detected in the papillomacular region of a fellow eye with no symptoms. In two cases, FLA was performed, but only in one case could we detect late leakage and subretinal exudates. The serous detachments observed showed total resolution in all cases within 5 to 10 weeks, with restoration of visual acuity. Conclusion: In patients with preeclampsia, OCT may provide a useful method for the precise assessment of retinal changes, distinguishing retinal edema from serous neurosensory detachments. This finding may help to clarify the pathophysiological circulatory changes seen in preeclampsia.

KW - Fluorescein angiography (FLA)

KW - HELLP-syndrome

KW - Optical coherence tomography (OCT)

KW - Preeclampsia

KW - Serous neurosensory retinal detachment

UR - http://www.scopus.com/inward/record.url?scp=33646029137&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=33646029137&partnerID=8YFLogxK

U2 - 10.1080/10641950500543848

DO - 10.1080/10641950500543848

M3 - Article

C2 - 16617539

AN - SCOPUS:33646029137

VL - 25

SP - 11

EP - 20

JO - Hypertension in Pregnancy

JF - Hypertension in Pregnancy

SN - 1064-1955

IS - 1

ER -