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VOLUME 20 , ISSUE 9 ( 2016 ) > List of Articles
Gentle Sunder Shrestha, Shayuja Rajbhandari, Shashwat Dhungel, Nutan Sharma, Nimesh Poudel, Dhiraj N. Manandhar
Keywords : Hemolysis, elevated liver enzymes, and low platelet count syndrome, point-of-care ultrasonography, retinal detachment
Citation Information : Shrestha GS, Rajbhandari S, Dhungel S, Sharma N, Poudel N, Manandhar DN. Point-of-care ultrasonography of the orbit for detection of retinal detachment in a patient with hemolysis, elevated liver enzymes, and low platelet count syndrome. Indian J Crit Care Med 2016; 20 (9):545-547.
License: CC BY-ND 3.0
Published Online: 01-09-2016
Copyright Statement: Copyright © 2016; Jaypee Brothers Medical Publishers (P) Ltd.
Retinal detachment is a rare, but well-known cause of visual impairment in patients with hemolysis, elevated liver enzymes, and low platelet count (HELLP) syndrome. With supportive care, patients usually improve, with complete recovery of vision. Bedside ultrasonography of the orbit can be helpful for early detection of retinal detachment in these patients. Here, we present a case of HELLP syndrome presenting with severe visual symptoms. Retinal detachment was detected with point-of-care ocular sonography, which was confirmed with ophthalmoscopic examination. The patient was reassured of the favorable prognosis. Early initiation of aggressive supportive care was followed by progressive improvement of vision, which correlated with sonographic evidence of resolution of detachment. Her vision recovered completely in 2 weeks.
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