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Choroidal thickening and macular serous retinal detachment in pregnancy-induced hypertension
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 ces...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Dove Medical Press
2015
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4646594/ https://www.ncbi.nlm.nih.gov/pubmed/26635487 http://dx.doi.org/10.2147/IMCRJ.S95442 |
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author | Aoyagi, Ranko Hayashi, Takaaki Tsuneoka, Hiroshi |
author_facet | Aoyagi, Ranko Hayashi, Takaaki Tsuneoka, Hiroshi |
author_sort | Aoyagi, Ranko |
collection | PubMed |
description | 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. Indocyanine green angiograms indicated delayed filling of the choroidal circulation in the early phase but choroidal hyperpermeability in the mid-phase. The SRD was gradually resolving without any treatment except for antihypertensive drugs. At 40 days after the initial examination, OCT revealed both the disappearance of the SRD and marked improvement of the choroidal thickening. CONCLUSION: Ophthalmologists need to be aware that PIH can cause choroidal ischemia, a breakdown of the outer blood–retinal barrier, and lead to the development of SRD. |
format | Online Article Text |
id | pubmed-4646594 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | Dove Medical Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-46465942015-12-03 Choroidal thickening and macular serous retinal detachment in pregnancy-induced hypertension Aoyagi, Ranko Hayashi, Takaaki Tsuneoka, Hiroshi Int Med Case Rep J Case Report 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. Indocyanine green angiograms indicated delayed filling of the choroidal circulation in the early phase but choroidal hyperpermeability in the mid-phase. The SRD was gradually resolving without any treatment except for antihypertensive drugs. At 40 days after the initial examination, OCT revealed both the disappearance of the SRD and marked improvement of the choroidal thickening. CONCLUSION: Ophthalmologists need to be aware that PIH can cause choroidal ischemia, a breakdown of the outer blood–retinal barrier, and lead to the development of SRD. Dove Medical Press 2015-11-11 /pmc/articles/PMC4646594/ /pubmed/26635487 http://dx.doi.org/10.2147/IMCRJ.S95442 Text en © 2015 Aoyagi et al. This work is published by Dove Medical Press Limited, and licensed under Creative Commons Attribution – Non Commercial (unported, v3.0) License The full terms of the License are available at http://creativecommons.org/licenses/by-nc/3.0/. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. |
spellingShingle | Case Report Aoyagi, Ranko Hayashi, Takaaki Tsuneoka, Hiroshi Choroidal thickening and macular serous retinal detachment in pregnancy-induced hypertension |
title | Choroidal thickening and macular serous retinal detachment in pregnancy-induced hypertension |
title_full | Choroidal thickening and macular serous retinal detachment in pregnancy-induced hypertension |
title_fullStr | Choroidal thickening and macular serous retinal detachment in pregnancy-induced hypertension |
title_full_unstemmed | Choroidal thickening and macular serous retinal detachment in pregnancy-induced hypertension |
title_short | Choroidal thickening and macular serous retinal detachment in pregnancy-induced hypertension |
title_sort | choroidal thickening and macular serous retinal detachment in pregnancy-induced hypertension |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4646594/ https://www.ncbi.nlm.nih.gov/pubmed/26635487 http://dx.doi.org/10.2147/IMCRJ.S95442 |
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