重度子癲前症相關之雙側漿液性視網膜剝離 : 病例報告

Severe preeclampsia-associated bilateral serous retinal detachment: A case report

子癲前症是妊娠時期的多系統併發症，我們報告了一例嚴重子癇前症的37歲初產婦女發生雙側漿液性視網膜剝離和肺水腫，需要插管以及重症照護。在分娩之後，雙眼剝離之處完全吸收，並且左眼視力在六個月的門診追蹤也恢復正常。子癇前症的病理機轉是由於系統性缺血和脈絡膜小動脈血管痙攣引起，而視網膜色素上皮的繼發性損傷會導致液體滲出，造成視網膜剝離; 在本例患者中，此患者的視網膜剝離在分娩後數週內便自行消退。

 

Preeclampsia is a multisystem complication of pregnancy characterized by new-onset hypertension and proteinuria. We report the case of a 37-year-old primiparous woman with severe preeclampsia who developed bilateral SRD and pulmonary edema that required intubation and intensive care. After delivery, complete resorption of retinal serous detachment in both eyes was noted and visual acuity was restored in the left eye in six months follow-up. The preeclampsia pathogenesis results from systemic ischemia and choroidal arteriolar vasospasm. Secondary damage of the retinal pigmentary epithelium leads to fluid transudate and SRD. In this patient, preeclampsia-associated SRD spontaneously resolved within weeks of delivery.