PDF(Pubmed)
Abstract：
Preeclampsia, a complex multisystem disorder predominantly impacting the kidneys and liver, manifests through hypertension and organ dysfunction in expectant mothers. Preeclampsia can also cause ocular signs, but they are uncommon. Exudative retinal detachment (ERD) is one such unusual but dangerous consequence. A thorough clinical description and therapy of a patient who experienced exudative retinal detachment while experiencing preeclampsia are provided in this study. A 28-year-old Saudi female, with no medical or surgical history, underwent an emergency cesarean section (CS) due to severe preeclampsia and failed induction of labor. The patient complained of painless blurry vision, with central dark spot and decreased vision starting from labor daytime. The patient was admitted to the hospital for blood pressure monitoring and further investigations. The patient was started on hydralazine intravenous (IV) and labetalol PO to control BP. The patient was delivered by cesarean section for preeclampsia with severe features after the failure of labor induction, and she had improved her vision by four weeks postpartum. Retinal detachment as a consequence of preeclampsia is conservatively managed, with a generally favorable prognosis. Previous studies have consistently emphasized the critical importance of a multidisciplinary approach that fosters collaboration between obstetricians and ophthalmologists. This collaborative strategy not only ensures comprehensive care but also facilitates early detection, timely intervention, and improved management outcomes for conditions affecting both maternal health and ophthalmic well-being during pregnancy.
摘要：
先兆子痫,一种复杂的多系统疾病，主要影响肾脏和肝脏，通过孕妇的高血压和器官功能障碍表现出来。先兆子痫也可引起眼部体征，但它们并不常见。渗出性视网膜脱离（ERD）是一种不寻常但危险的后果。本研究提供了在经历先兆子痫时经历渗出性视网膜脱离的患者的全面临床描述和治疗。一名28岁的沙特女性,没有病史或手术史,由于严重先兆子痫和引产失败，接受了紧急剖宫产（CS）。病人抱怨无痛的视力模糊，从分娩白天开始，中央黑斑和视力下降。该患者被送往医院进行血压监测和进一步调查。患者开始静脉注射肼屈嗪（IV）和拉贝洛尔PO以控制BP。该患者因引产失败后出现重度子痫前期，经剖宫产分娩，产后四周她的视力得到了改善。作为先兆子痫的结果的视网膜脱离是保守的管理，预后普遍良好。以前的研究一直强调多学科方法的重要性，促进产科医生和眼科医生之间的合作。这种协作策略不仅确保全面的护理，而且有助于早期发现，及时干预,并改善了妊娠期间影响孕产妇健康和眼科健康的疾病的管理结果。
