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pregnancy and retinal detachment

Izabella Karska-Basta, Marta Tarasiewicz, Agnieszka Kubicka-Trząska, Joanna Miniewicz, Bożena Romanowska-Dixon
Recently, a growing tendency for cesarean birth has been noted both, in Poland and worldwide. Non-obstetric problems constitute a large part of indications for cesarean section. Many ophthalmologists and obstetricians still believe that high myopia, the presence of peripheral retinal degenerations, history of retinal detachment surgery, diabetic retinopathy, or glaucoma are indications for surgical termination of pregnancy. However, these recommendations are not evidence-based. The literature offers no proof that high myopia and previous retinal surgery increase the risk of retinal detachment during spontaneous vaginal delivery...
2016: Ginekologia Polska
M Ashish, S Alok, J Elesh, T Shubhi
The aim of this case report is to discuss issues related to management of one eyed pregnant female. A 26-year-old female (Patient A) and 28-year-old female (Patient B) both in second trimester and one eyed presented to our outpatient department with diminution of vision due to rhegmatogenous retinal detachment (RRD). Retina was attached in Patient A following scleral buckling surgery but Patient B required pars plana vitrectomy with silicon oil tamponade. Best corrected visual acuity in both patients did improve from 1/60 to 6/24 and 6/18, respectively at 6 months follow-up...
November 2015: Annals of Medical and Health Sciences Research
Ofer Beharier, Ehud Davidson, Ruslan Sergienko, Irit Szaingurten-Solodkin, Roy Kessous, Ron Charach, Nadav J Belfair, Eyal Sheiner
Objective To investigate whether patients with a history of preeclampsia have an increased risk of long-term ophthalmic complications. Study Design A population-based study comparing the incidence of long-term maternal ophthalmic complications in a cohort of women with and without a history of preeclampsia. Results During the study period, a total of 103,183 deliveries met the inclusion criteria; 8.1% (n = 8,324) occurred in patients with a diagnosis of preeclampsia during at least one of their pregnancies...
June 2016: American Journal of Perinatology
Isil Sayman Muslubas, Serra Arf, Mumin Hocaoglu, Hakan Ozdemir, Murat Karacorlu
PURPOSE: To report a case of circumscribed choroidal hemangioma complicated by retinal detachment and regressed spontaneously after childbirth. METHODS: Clinical examination, fundus photography, spectral domain optical coherence tomography with enhanced depth imaging, fundus autofluorescence, fluorescein angiography, indocyanine green angiography, and microperimetry. RESULTS: A 41-year-old woman was referred with a 2-week history of decreased vision and scotoma in the left eye...
January 20, 2016: Retinal Cases & Brief Reports
Roy Ratson, Eyal Sheiner, Ehud Davidson, Ruslan Sergienko, Ofer Beharier, Roy Kessous
OBJECTIVE: To investigate whether there is an association between a history of fertility treatments and future risk for long-term maternal ophthalmic complications. STUDY DESIGN: A population-based study compared the incidence of long-term maternal ophthalmic complications in a cohort of women with and without a prior history of fertility treatments, including in vitro fertilization (IVF) and ovulation induction (OI). Deliveries occurred between the years 1988-2013, with a mean follow-up duration of 12 years...
October 2016: Journal of Maternal-fetal & Neonatal Medicine
Ranko Aoyagi, Takaaki Hayashi, Hiroshi Tsuneoka
OBJECTIVE: The purpose of this study was to report optical coherence tomography (OCT) and angiographic findings in a patient with pregnancy-induced hypertension (PIH). CASE REPORT: A 39-year-old woman, who was diagnosed with PIH, reported blurred and distorted vision at 5 days after an emergency cesarean delivery. OCT revealed a large serous retinal detachment (SRD) that included areas in the macula, along with an increased choroidal thickness noted in both eyes...
2015: International Medical Case Reports Journal
Ayaka Kasai, Yukinori Sugano, Ichiro Maruko, Tetsuju Sekiryu
PURPOSE: We report here, the morphological characteristics of the retina and choroid in a patient with hemolysis, elevated liver enzymes, low platelets (HELLP) syndrome, who was not aware of her pregnancy before visiting our hospital. METHODS: Case report. RESULTS: The patient complained of visual disturbances in both eyes for a few days. Extensive serous retinal detachment and hyperreflective foci were observed in both eyes on spectral domain optical coherence tomography (SDOCT)...
2016: Retinal Cases & Brief Reports
Zhixue Wang, Yuanyuan Zou, Wenying Li, Xueyan Wang, Min Zhang, Wenying Wang
This study was aimed to investigate the fundus changes of patients with pregnancy-induced hypertension syndrome (PIHS) using optical coherence tomography (OCT) technology and contrast sensitivity (CS) tests.Ninety-eight patients with PIHS underwent routine eye examinations including vision correction, fundus examination, OCT, and CS tests. The CS test was performed at low, medium, and high frequency, respectively. Moreover, the difference in CS tests between 2 groups was analyzed by independent-samples T test...
November 2015: Medicine (Baltimore)
Simona Delia Nicoară, Constanța Nascutzy, Cristina Cristian, Iulian Irimescu, Anne Claudia Ștefănuț, Gabriela Zaharie, Tudor Drugan
Purpose. This study aims to evaluate the regression of retinopathy of prematurity (ROP) after one intravitreal injection of bevacizumab and the factors that influenced it. Methods. This retrospective case series was carried out at the "Iuliu Hațieganu" University of Medicine and Pharmacy, Cluj-Napoca, Romania. It includes all the consecutive infants treated for ROP with one intravitreal bevacizumab injection, from January 1, 2009, throughout July 31, 2013. The follow-up continued for 60 weeks after injection...
2015: Journal of Ophthalmology
Jordan Chenkin, Claire L Heslop, Cori R Atlin, Michael Romano, Tomislav Jelic
Bilateral 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.
September 2016: CJEM
Hiroyuki Morisawa, Shinji Makino, Hironori Takahashi, Mari Sorita, Shigeki Matsubara
Serous retinal detachment is sometimes caused by hypertensive disorders in pregnancy and its associated conditions, in which the predominant eye symptoms are blurred vision, distorted vision, and reduced visual acuity. To our best knowledge, this is the first report of a puerperal woman with hemolysis, elevated liver enzymes, and low platelet count (HELLP) syndrome in whom color vision abnormality was the first and predominant manifestation of serous retinal detachment. At 32 weeks of gestation, the 34-year-old Japanese woman underwent cesarean section due to HELLP syndrome...
November 2015: Journal of Obstetrics and Gynaecology Research
Keijiro Sugita, Kyoichi Mizumoto, Nahoko Kato, Masahiro Zako
BACKGROUND: At present, there is no standard of treatment using systemic high-dose corticosteroids in cases of pregnant women with Vogt-Koyanagi-Harada (VKH) disease. Although high-dose systemic corticosteroid treatment is often used for VKH disease during pregnancy, it also poses a risk to the fetus. FINDINGS: A 29-year-old woman in the 34th week of pregnancy experienced bilateral metamorphopsia. She had been receiving 5 mg of prednisolone daily for the past 8 years as treatment for rheumatoid arthritis...
2015: Journal of Ophthalmic Inflammation and Infection
Joana Araújo, João Tavares-Ferreira, Susana Penas, Luís Figueira, Flávio Prézia Paiva, Fernando Falcão-Reis
We report one case of malignant hypertensive retinopathy as a presenting sign of fetal death in utero. Ophthalmic examination (including intravenous fluorescein angiography and optical coherence tomography) and obstetric and systemic evaluation were performed, providing a multidisciplinary approach. A 33-year-old overweight woman (body mass index 47 kg/m(2)) with no systemic or ocular known disease was admitted to our emergency department with a one-week history of bilateral vision loss and no systemic complaints...
2015: Clinical Ophthalmology
Paulino Vigil-De Gracia
Hypertensive disorders of pregnancy are one of the most common complications of pregnancy, but one of the most serious expressions of this pathology is HELLP syndrome. The HELLP syndrome is characterized by the presence of hypertension disorder more a triad: microangiopathic hemolysis, elevated liver enzymes and low platelet count. Patient with HELLP syndrome is associated with increased maternal risk complications such as: cerebral hemorrhage, retinal detachment, hematoma/ hepatic rupture, acute renal failure, disseminated intravascular coagulation, placental abruption and therefore a maternal death...
January 2015: Ginecología y Obstetricia de México
Lotte G Welinder, Johane M Robitaille, Rosemarie Rupps, Cornelius F Boerkoel, Christopher J Lyons
The birth of a bilaterally blind child is catastrophic for families and a challenging diagnostic and management problem for ophthalmologists. Early identification of the underlying cause and its genetic basis helps initiate possible treatment, delineate prognosis, and identify risks for future pregnancies. In some cases, an early diagnosis can also influence the treatment of other family members. We report two sisters with bilateral retinal detachment and retro-lental masses from birth with no detectable NDP or FZD4 mutations...
2015: Ophthalmic Genetics
Vincent D Venincasa, Andres Emanuelli, Theodore Leng, Erin Perlini, Victor Villegas, Magaly Diaz-Barbosa, Maria Gutierrez, Darlene Miller, Audina M Berrocal
Acute retinal necrosis (ARN) should be in the differential diagnosis of a neonate who presents with vitritis. This report includes three cases of neonatal ARN at the Bascom Palmer Eye Institute from 2004 to 2009. Medical treatment with acyclovir helped reduce sequelae of herpes simplex virus (HSV) 2 infection. Patients with ARN are at risk for retinal detachment and blindness. Although mothers are screened during pregnancy, they are at risk of reactivation or primary contraction of HSV. A neonate presenting with vitritis should raise suspicion of ARN...
April 2015: Ophthalmic Surgery, Lasers & Imaging Retina
Ala'a AlTalbishi, Samer Khateb, Radgonde Amer
PURPOSE: Preeclampsia is a multisystem disorder defined as new onset of hypertension and proteinuria during the second half of pregnancy. Serous retinal detachment (SRD) is a known complication of preeclampsia caused by choroidal ischemia and subsequent disruption of blood-retinal barrier. Poor perfusion of the choriocapillaris causes Elschnig's spots. We aim to describe distinctive optical coherence tomography (OCT) features of a cluster of Elschnig's spots in a patient with severe preeclampsia during the acute and remission stages...
September 2015: European Journal of Ophthalmology
Peter A Ricketti, David W Unkle, Dennis J Cleri, Jonathan L Prenner, Michael Coluccielo, Anthony J Ricketti
Central serous chorioretinopathy (CSCR) is of unknown etiology and is the most common cause of retinopathy after age-related macular degeneration, diabetic retinopathy, and retinal vein occlusion. Vision loss results from fluid leakage and serous detachment in the macula. Five percent of patients develop chronic CSCR. It is predominantly found in middle-aged men (age-adjusted rates per 100,000: 9.9 for men and 1.7 for women) and is usually unilateral and reversible. Three-quarters of CSCR patients resolve within 3 months but 45% have recurrences, usually with only minor visual acuity changes...
March 2015: Allergy and Asthma Proceedings:
Meenakshi Wadhwani, Varun Gogia, Ashish Kakkar, Raji Satyapal, Pradeep Venkatesh, Yograj Sharma
INTRODUCTION: Frosted branch angiitis usually occurs in children and presents with severe sheathing of all retinal vessels mimicking the appearance of frosted branches of a tree. OBJECTIVE: To report a case of frosted branch angiitis in a pregnant lady. CASE: We, hereby, report a case of a 24-year-old pregnant female who presented to us with the complaints of sudden diminution of vision in the right eye for three days. Fundus examination revealed severe sheathing of all retinal vessels with neurosensory retinal detachment suggestive of frosted branch angiitis...
July 2014: Nepalese Journal of Ophthalmology
Chandana Chakraborti, Swapan Kumar Samanta, Khandakar Faiduddin, Krittika Pal Choudhury, Sheuli Kumar, Ramkrishna Mondal
INTRODUCTION: Bilateral central serous chorio-retinopathy is an unusual presentation. OBJECTIVE: To report a case of pregnancy-induced bilateral central serous chorio-retinopathy. CASE: A thirty-year-old woman complaining of reduced vision in both the eyes was referred for ophthalmoscopic evaluation in her third trimester of pregnancy. The best-corrected visual acuity was 6/60 in the right eye and finger counting at four meters in the left...
July 2014: Nepalese Journal of Ophthalmology
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