Bilateral serous retinal detachment: an unusual complication of HELLP syndrome

BMJ Case Rep. 2021 Mar 2;14(3):e233282. doi: 10.1136/bcr-2019-233282.

Abstract

A 23-year-old primigravida presented to the emergency department with reports of headache. On examination, her blood pressure was found to be 190/140 mm Hg. Her laboratory results were notable for proteinuria, deranged liver function and low platelets. She was diagnosed with HELLP syndrome and was delivered via caesarean section. She noticed diminution of vision 2 days after delivery. Fundus examination revealed bilateral serous retinal detachment involving the maculae. She was managed conservatively and had complete recovery of her vision by 3 weeks postpartum.

Keywords: ophthalmology; pregnancy; retina.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Cesarean Section
  • Female
  • Fundus Oculi
  • HELLP Syndrome* / diagnosis
  • Humans
  • Postpartum Period
  • Pregnancy
  • Retinal Detachment* / diagnosis
  • Retinal Detachment* / etiology
  • Young Adult