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Indian Journal of Clinical and Experimental Ophthalmology


Rare case of exudative retinal detachment in Normotensive HELLP syndrome: A Case Report


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Author Details: Anupriya Singh, Ishan Yadav, Sujit Deshmukh, Rajendra P. Maurya, Shraddha Pandey

Volume : 1

Issue : 3

Online ISSN : 2395-1451

Print ISSN : 2395-1443

Article First Page : 187

Article End Page : 188


Abstract

 HELLP syndrome (hemolysis, elevated liver enzymes and low platelets) is defined as a severe form of preeclampsia which leads to maternal, fetal morbidities and sometimes even death. HELLP syndrome usually occurs in severe preeclampsia; but sometimes it may present with atypical clinical features. Bilateral, serous, non-rhegmatogenous retinal detachment is a rare complication in severe hypertensive disorders of pregnancy, in most of the cases serous detachment is associated with development of hypertensive retinopathy. Here we report a rare case of 24-year-old female who presented at 36 weeks of pregnancy with headache, and diminution of vision in both eyes. Two days after admission a proteinuria of 440 mg/24 h was detected. She had platelet count of 70,000/ cc 3 and elevated liver enzymes. However the patient had normal blood pressure. Her serum was creatinine normal. The patient required a platelet transfusion. Fundus examination revealed exudative retinal detachment involving inferior quadrant. No signs of hypertensive retinopathy were noted. Prompt recovery with good visual acuity occurred after the pregnancy ended.