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Central retinal vein occlusion and HELLP syndrome

2000; Wiley; Volume: 78; Issue: 5 Linguagem: Inglês

10.1034/j.1600-0420.2000.078005596.x

1600-0420

F Gonzalvo, Emilio Abecia, Isabel Pinilla, Lucía B. Izaguirre, José M.a Oliván, F.M. Honrubia,

Neonatal Health and Biochemistry

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.