1Assistant professor, Department of Obstetrics and Gynaecology, Heritage Institute of Medical Sciences, Varanasi, India
2Senior Resident, Department of Ophthalmology, Institute of Medical Sciences, BHU, Varanasi, India
3Assistant professor, Department of Ophthalmology, Institute of Medical Sciences, BHU, Varanasi, India
4Junior Resident, Department of Ophthalmology, Institute of Medical Sciences, BHU, Varanasi, India
Online published on 5 January, 2016.
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.
