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

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.

Keywords

exudative retinal detachment / preeclampsia / endothelial dysfunction

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] Адамян Л.В., Артымук Н.В., Башмакова Н.В., и др. Гипертензивные расстройства во время беременности, в родах и послеродовом периоде. Преэклампсия. Эклампсия: клинические рекомендации (протокол лечения). М., 2016.

[3] Sarkisova EI, Orlov AV. Methods to predict severe forms of preeclampsia during early pregnancy. Meditsinskiy vestnik Yuga Rossii. 2013;(4):21–25. (In Russ.)

[4] Саркисова Е.И., Орлов А.В. Способы прогнозирования тяжёлых форм преэклампсии на ранних сроках беременности // Медицинский вестник Юга России. 2013. № 4. С. 21–25.

[5] Lambert G, Brichant JF, Hartstein G, et al. Preeclampsia: an update. Acta Anaesthesiologica Belgica. 2014;65(4):137–149.

[6] Lambert G., Brichant J.F., Hartstein G., et al. Preeclampsia: an update // Acta anaesthesiologica belgica. 2014. Vol. 65, No. 4. P. 137–149.

[7] Evans AT. Manual of Obstetrics. Lippincott Williams & Wilkins; 2007.

[8] Evans A.T. Manual of Obstetrics. Lippincott Williams & Wilkins; 2007.

[9] 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

[10] Magee L.A., Ornstein M.P., von Dadelszen P. Management of hypertension in pregnancy // BMJ. 1999. Vol. 318, No. 7194. P. 1332–1336. DOI: 10.1136/bmj.318.7194.1332

[11] 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

[12] Sreckovic S.B., Janicijevic-Petrovic M.A., Stefanovi I.B., et al. Bilateral retinal detachment in a case of preeclampsia // Bosnian Journal of Basic Medical Sciences. 2011. Vol. 11, No. 2. P. 129–131. DOI: 10.17305/bjbms.2011.2598

[13] Ober RR. Pregnancy induced hypertension (preeclampsia-eclampsia). In: Ryan SJ, ed. Retina. Vol 2. 2nd ed. St Louis: Mosby; 1994. P. 1405–1412.

[14] Ober R.R. Pregnancy induced hypertension (preeclampsia-eclampsia). In: Ryan SJ, ed. Retina. Vol 2. 2nd ed. St Louis: Mosby, 1994. P. 1405–1412.

[15] 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

[16] Kjaev I., Nivicka J.K., Kjaeva S., et al. Bilateral serous retinal detachment in preeclampsia: case report // Macedonian Medical Review. 2017. Vol. 71, No. 2. P. 143–145. DOI: 10.1515/mmr-2017-0026

[17] Kolenko OV. Sistema prognozirovaniya i profilaktiki retinal’nykh sosudistykh rasstroystv u zhenshchin posle perenesennoy preeklampsii [dissertation]. Moscow; 2020. (In Russ.)

[18] Коленко О.В. Система прогнозирования и профилактики ретинальных сосудистых расстройств у женщин после перенесенной преэклампсии: дис. … д-ра. мед. наук. М., 2020.

[19] 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

[20] Spaide R.F., Goldbaum M., Wong D.W.K., et al. Serous detachment of the retina // Retina. 2003. Vol. 23, No. 6. P. 820–846. DOI: 10.1097/00006982-200312000-00013

[21] 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

[22] Saito Y., Tano Y. Retinal pigment epithelial lesions associated with choroidal ischemia in preeclampsia // Retina. 1998. Vol. 18. P. 103–108. DOI: 10.1097/00006982-199818020-00002

[23] 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

[24] Ahmed Hussain S., O’Shea B.J., Thagard A.S. Preeclamptic serous retinal detachment without hypertension: A case report // Case Rep Womens Health. 2019. Vol. 21. P. e00098. DOI: 10.1016/j.crwh.2019.e00098

[25] 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.)

[26] Белоцерковцева Л.Д., Зинин В. Н., Фатеева А.В., и др. Клинический случай преэклампсии, осложнённой двухсторонней отслойкой сетчатки // Вестник СУРГУ. Медицина. 2010. № 3(6). С. 92–95.

[27] 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.)

[28] Зуев А.В., Педанова Е.К., Колесник С.В., Колесник А.И. Билатеральная экссудативная отслойка сетчатки на фоне преэклампсии беременных. Клинический случай // Современные технологии в офтальмологии. 2015. № 1. С. 68–70.

[29] 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.)

[30] Чуманова О.В. Случай тяжёлой преэклампсии, осложнённой развитием преждевременной отслойки нормально расположенной плаценты и двухсторонней отслойки сетчатки // Вестник науки и образования. 2019. № 8–2(62). С. 60–63.

[31] Bartczak A, Kraśnicki P, Urban R, et al. Bilateral serous retinal detachment in preeclampsia – a case report. Eye wedge. 2014;116(1):21–23.

[32] Bartczak A., Kraśnicki P., Urban R., et al. Bilateral serous retinal detachment in preeclampsia – a case report // Klin Oczna. 2014. Vol. 116, No. 1. P. 21–23.

[33] 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

[34] Афанасьева А.А., Смирнова О.В., Ржевская Н.В., Мартюшова Е.А. Оксидативный стресс и преэклампсия // Siberian Journal of Life Sciences and Agriculture. 2019. Т. 11, № 4. С. 107–116. DOI: 10.12731/2658-6649-2019-11-4-107-117

[35] 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

[36] Зорина В.Н., Левченко В.Г., Зорин Н.А. Регуляторно-транспортные белки в диагностике и прогнозе преэклампсии // Клиническая лабораторная диагностика. 2016. Т. 61, № 8. С. 470–473. DOI: 10.18821/0869-2084-61-8-470-473

[37] 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

[38] Резник В.А. Новые данные о патогенезе преэклампсии // Регионарное кровообращение и микроциркуляция. 2018. Т. 17, № 4. С. 4–10. DOI: 10.24884/1682-6655-2018-17-4-4-10

RIGHTS & PERMISSIONS

Kolenko O.V., Fil A.A., Sorokin E.L.