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e-Article

Visual complaints in pregnancy: (pre)eclampsia as a chameleon
Document Type
article
Source
GMS Ophthalmology Cases, Vol 12, p Doc21 (2022)
Subject
pres
dic
diabetes type i
pregnancy
(pre)eclampsia
Ophthalmology
RE1-994
Language
English
ISSN
2193-1496
Abstract
Objective: The visual system often is affected in patients with preeclampsia and even more in cases of eclampsia, a life-threatening pregnancy complication. Symptoms include blurred vision and deterioration of visual acuity. Pregnancy can also affect pre-existing conditions, such as diabetic retinopathy. In this case series, we describe three patients with the same underlying condition, i.e. (pre)eclampsia who experienced acute visual disturbance whereas the final diagnosis was different: disseminated intravascular coagulopathy (DIC), posterior reversible encephalopathy syndrome (PRES), and diabetic retinopathy.Methods and results: All patients underwent a thorough slit lamp examination and ocular coherence tomography (OCT). All patients presented with acute impaired vision and subretinal fluid and-/or fibrin. Conclusions: These cases highlight the importance of early involvement of ophthalmologists when pregnant women complain about visual disorders.