A rare case of serous retinal detachment with subretinal fibrin-like material associated with pre-eclampsia, abruptio placentae, and intrauterine fetal death

Abstract

A 31-year-old female reported with unilateral serous retinal detachment (SRD) with subretinal fibrin-like material (SRFM) following pre-eclampsia, placental abruption, and intrauterine fetal death. The best-corrected visual acuity was 20/40 in the affected eye. Fundus angiography and optical coherence tomography revealed choroidal ischemia with SRD and SRFM which resolved gradually over 4 weeks posttreatment. The presence of SRFM with SRD could be due to intense ischemia and inflammation following transient disseminated intravascular coagulation, hypovolemia, and hypertension. Multimodal imaging modalities can help in the early diagnosis and prompt management.