Indian Journal of Critical Care Medicine

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VOLUME 20 , ISSUE 9 ( 2016 ) > List of Articles

CASE REPORT

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

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.

DOI: 10.4103/0972-5229.190364

License: CC BY-ND 3.0

Published Online: 01-09-2016

Copyright Statement:  Copyright © 2016; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

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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