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2016 ; 10
(3
): 273-7
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CHOROIDAL MORPHOLOGY IN A PATIENT WITH HELLP SYNDROME
#MMPMID26595148
Kasai A
; Sugano Y
; Maruko I
; Sekiryu T
Retin Cases Brief Rep
2016[Sum]; 10
(3
): 273-7
PMID26595148
show ga
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). Enhanced depth imaging technique using SDOCT
revealed choroidal thickening and unclear choroidal vessel contour. Her blood
pressure was 230/168 mmHg. Laboratory data showed hemolysis and liver
dysfunction. Obstetrical examination disclosed her pregnancy. She was diagnosed
as having HELLP syndrome. Because her general condition improved after prompt
Cesarean delivery, the fundus lesions were rapidly resolved with choroidal
thinning. CONCLUSION: The eyes in a patient with HELLP syndrome showed
characteristic choroidal morphology. The choroidal morphology shown with SDOCT
might be one of the pathognomonic signs for a diagnosis of HELLP syndrome.
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