Visual complaints in pregnancy: (pre)eclampsia as a chameleon.

Johanna Wiedemann, Lebriz Altay, Antje Neugebauer, Tim Krohne, Claus Cursiefen
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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.

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孕期视觉主诉:(先兆)子痫像变色龙。
目的:子痫前期患者的视觉系统经常受到影响,子痫是一种危及生命的妊娠并发症。症状包括视力模糊和视力下降。怀孕也会影响已有的疾病,比如糖尿病视网膜病变。在本病例系列中,我们描述了三例具有相同基础疾病的患者,即(前期)子痫,经历急性视觉障碍,但最终诊断不同:弥散性血管内凝血病(DIC),后可逆脑病综合征(PRES)和糖尿病视网膜病变。方法和结果:所有患者均行裂隙灯检查和眼相干断层扫描(OCT)。所有患者均表现为急性视力受损、视网膜下积液和-/或纤维蛋白。结论:这些病例强调了当孕妇抱怨视力障碍时,眼科医生早期介入的重要性。
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