IngentaConnect Central retinal vein occlusion and HELLP syndrome

Authors: Gonzalvo, F.J.¹; Abecia, E.¹; Pinilla, I.¹; Izaguirre, L.B.¹; Oliván, J.M.a.¹; Honrubia, F.M.¹

Source: Acta Ophthalmologica Scandinavica, Volume 78, Number 5, 1 October 2000 , pp. 596-598(3)

Abstract:

.Purpose:

To present a rare case of central retinal vein occlusion in conjunction with the HELLP syndrome.

Methods:

A 30-year-old woman presented in the 28th week of her second pregnancy with severe pre-eclampsia with HELLP syndrome; delivery by caesarean section was recommended. Ten days later, the patient complained of severely decreased visual acuity in her right eye.

Results:

Ophthalmoscopy revealed a central retinal vein occlusion with venous engorgement and tortuosity, multiple flame hemorrhages, and disc and macular edema. Electroretinography revealed a reduction of b-wave/a-wave ratio. Fluorescein-angiography showed a blockage due to extensive retinal hemorrhages with late mild staining of the walls of veins. The patient presented a spontaneous improvement in visual acuity (0.8 two months after) and a complete resolution of ophthalmoscopic findings.

Conclusion:

Ophthalmic complications are possible during and soon after this syndrome. This is the first description of a patient suffering a central retinal vein occlusion during puerperium after the HELLP syndrome.

Keywords: central retinal vein occlusion; HELLP syndrome; preeclampsia; eclampsia

Document Type: Case report

Affiliations: 1: Department of Ophthalmology, “Miguel Servet” University Hospital, Zaragoza, Spain

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