Volume 23, Issue 4, July 2018, Pages 633–638
S. Mouffak1, S. Berrada2, Jaouad Kouach3, and Driss Moussaoui4
1 HOPITAL MILITAIRE D’INSTRUCTION MOHAMED V, RABAT, Morocco
2 Hôpital Militaire d’Instruction Mohamed V, Rabat, Morocco
3 Faculté de Médecine et de Pharmacie, Université Mohamed V, Rabat, Morocco
4 Department of Gynecology-Obstetric, Military Training Hospital Med V, Faculty of Medicine and Pharmacy, Mohammed V University, Rabat, Morocco
Original language: French
Copyright © 2018 ISSR Journals. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
The primum movens of pre-eclampsia is a systemic maternal endothelial dysfunction. Choroidal and retinal vessels are rarely affected or rarely explored, and their involvement is usually reversible in pre-eclampsia if the diagnosis is made in time to establish adequate surveillance and treatment for each situation. The underlying lesions to ocular disorders are retinal serous detachment (RSD), optic neuropathy and finally the most serious involvement is cortical blindness. The pathophysiological hypothesis is clearly proven by the various complementary examinations such as fundus examination, OCT (Optic Coherence Tomography), and fluorescein angiography. Clinically, there appears to be a parallelism between the clinical importance of edema and that of RSD. We report the case of a patient who presented, during a severe pre-eclampsia (in an edematous form) on twin pregnancy, a favorable postpartum DSR with suspicion of optic neuropathy. A follow-up by internists was recommended.
Author Keywords: pre-eclampsia, choroidal and retinal vessels, retinal serous detachment (RSD), OCT (Optic Coherence Tomography).
S. Mouffak1, S. Berrada2, Jaouad Kouach3, and Driss Moussaoui4
1 HOPITAL MILITAIRE D’INSTRUCTION MOHAMED V, RABAT, Morocco
2 Hôpital Militaire d’Instruction Mohamed V, Rabat, Morocco
3 Faculté de Médecine et de Pharmacie, Université Mohamed V, Rabat, Morocco
4 Department of Gynecology-Obstetric, Military Training Hospital Med V, Faculty of Medicine and Pharmacy, Mohammed V University, Rabat, Morocco
Original language: French
Copyright © 2018 ISSR Journals. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
The primum movens of pre-eclampsia is a systemic maternal endothelial dysfunction. Choroidal and retinal vessels are rarely affected or rarely explored, and their involvement is usually reversible in pre-eclampsia if the diagnosis is made in time to establish adequate surveillance and treatment for each situation. The underlying lesions to ocular disorders are retinal serous detachment (RSD), optic neuropathy and finally the most serious involvement is cortical blindness. The pathophysiological hypothesis is clearly proven by the various complementary examinations such as fundus examination, OCT (Optic Coherence Tomography), and fluorescein angiography. Clinically, there appears to be a parallelism between the clinical importance of edema and that of RSD. We report the case of a patient who presented, during a severe pre-eclampsia (in an edematous form) on twin pregnancy, a favorable postpartum DSR with suspicion of optic neuropathy. A follow-up by internists was recommended.
Author Keywords: pre-eclampsia, choroidal and retinal vessels, retinal serous detachment (RSD), OCT (Optic Coherence Tomography).
Abstract: (french)
Le primum movens de la pré-éclampsie est une dysfonction endothéliale maternelle systémique. L’atteinte des vaisseaux choroïdiens et ou rétiniens reste rare ou plutôt rarement recherchée, elle est souvent réversible en cas de pré-éclampsie si le diagnostic a été établi à temps pour instaurer une surveillance et un traitement adéquat à chaque situation. Les lésions sous-jacentes aux troubles oculaires sont le décollement séreux rétinien (DSR), la neuropathie optique et enfin l’atteinte la plus grave est la cécité corticale. Les hypothèses physiopathologiques sont clairement démontrées par les différents examens complémentaires comme le fond d’œil, l‘OCT (Optic Coherence Tomography) et l’angiographie à la fluorescéine. Sur le plan clinique, il semble exister un parallélisme entre l’importance clinique des œdèmes et celle du DSR. Nous rapportons le cas d’une patiente ayant présenté, au cours d’une pré-éclampsie sévère sur grossesse gémellaire (selon une forme œdémateuse), un DSR d’évolution favorable en post- partum avec suspicion d’une neuropathie optique, un suivi avec les internistes a été recommandé.
Author Keywords: prééclampsie , vaisseaux choroïdiens , décollement séreux rétinien , OCT(Optic Coherence Tomography).
How to Cite this Article
S. Mouffak, S. Berrada, Jaouad Kouach, and Driss Moussaoui, “Décollement de rétine au cours d’une pré-éclampsie sévère sur grossesse gémellaire: A propos d’un cas,” International Journal of Innovation and Applied Studies, vol. 23, no. 4, pp. 633–638, July 2018.
