Comprehensive Ophthalmology Free Papers - aioseducation

70th AIOC Proceedings, Cochin 2012
Among 15 cases of PIH, we found two cases (13.3%) presenting with headache
and pedal edema for 6 days. The blood pressure was above 140/100 mmHg
and vision was 6/6 for both of the cases. Anterior segment examination
was normal. Fundus picture showed hypertensive retinopathy changes
like moderate arteriolar narrowing and arteriovenous crossing changes
i.e. deflection of veins at AV crossings (Salu’s sign). Diagnosed as Grade ΙΙ
Hypertensive retinopathy in both cases.
Two cases presented with serous retinal detachment.
The clinical manifestations of these women are presented here.
Patient 1 Patient 2
Age (years) 22 25
Gestational age at the 32 weeks 34 weeks
time of admission
Blood pressure 160/120 mmHg 180/130 mmHg
Visual acuity at the time RE-6/18 RE-6/12
of presentation LE6/60 LE-6/6
RE –localized exudative Retinal edema surrounding
Ophthalmologic detachment inferior to macula the macula and small serous
examination LE- localized exudative retinal detachment inferior
detachment involving macula and temporal to macula
excluding fovea, hemorrhagic in right eye is present.
spot inferior to macula
Left eye is normal
Visual acuity in RE-6/6 RE-6/6
postpartum period LE-6/9 LE-6/6
3 weeks postpartum
Fundus picture during Retinal detachment Complete recovery is
postpartum period was no longer present present without any
residual changes within
a month of postpartum
period
Central Serous Retinopathy
Serous Retinal Detachment
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