Indian Journal of Critical Care Medicine

Register      Login

SEARCH WITHIN CONTENT

FIND ARTICLE

Volume / Issue

Online First

Archive
Related articles

VOLUME 15 , ISSUE 4 ( October, 2011 ) > List of Articles

CASE REPORT

Postpartum amaurosis in a woman with severe preeclampsia

Mónica Mourelo, Rita Galeiras, David Freire, Miguel Álvarez, José L. Díaz, Teresa García

Keywords : Blindness, hypertension, posterior reversible encephalopathy syndrome

Citation Information : Mourelo M, Galeiras R, Freire D, Álvarez M, Díaz JL, García T. Postpartum amaurosis in a woman with severe preeclampsia. Indian J Crit Care Med 2011; 15 (4):227-229.

DOI: 10.4103/0972-5229.92077

License: CC BY-ND 3.0

Published Online: 01-12-2018

Copyright Statement:  Copyright © 2011; The Author(s).


Abstract

The maternal and perinatal fetal prognosis of preeclampsia depends on the gestational age of the fetus at onset, the severity of the disease, the quality of care, and the presence of pre-existent medical conditions. One of the uncommon effects of severe preeclampsia on the eye is sudden loss of vision. The present case report is of a woman with severe preeclampsia exacerbated by delivery that coursed with difficult-to-control arterial hypertension and reversible cortical amaurosis without impaired consciousness or seizures.


PDF Share
  1. Sibai B, Dekker G, Kupferminc M. Pre-eclampsia. Lancet. 2005 Feb 26-Mar 4; 365(9461):785-99.
  2. Hladunewich M, Karumanchi SA, Lafayette R. Pathophysiology of the clinical manifestations of preeclampsia. Clin J Am Soc Nephrol 2007;2:543-9.
  3. Catov JM, Ness RB, Kip KE, Olsen J. Risk of early or severe pre-eclampsia related to pre-existing conditions. Int J Epidemiol 2007;36:412-9.
  4. Swende TZ, Abwa T. Reversible blindness in fulminating preeclampsia. Ann Afr Med 2009;8:189-91.
  5. Waziri-Erameh MJ, Omoti AE, Edema OT. Bilateral total loss of vision following eclampsia–a case report. Afr J Reprod Health 2003;7:106-8.
  6. Bona M. WA. The eyes in pregnancy. Ophthalmology Rounds [serial on the Internet]. 2007;5. Published online, May 2007. Available from: http://ophthalmologyrounds.ca. [Last accesed on Apr 2011].
  7. Duda J. Preeclampsia. Still an enigma. West J Med 1996;164:315-20.
  8. Servillo G, Apicella E, Striano P. Posterior reversible encephalopathy syndrome (PRES) in the parturient with preeclampsia after inadvertent dural puncture. Int J Obstet Anesth 2008;17:88-9.
  9. Magee AL, Moutquin LM, Dadelszen P.The Society of obstetricians and gynaecologist of Canada. Diagnosis, Evaluation and Management of the Hipertensive Disorders of Pregnancy. J Obstet Gynaecol Can 2008;30:S1-49.
  10. Henry CS, Biedermann SA, Campbell MF, Guntupalli JS. Spectrum of hypertensive emergencies in pregnancy. Crit Care Clin 2004;20:697-712, ix.
  11. Fugate JE, Claassen DO, Cloft HJ, Kallmes DF, Kozak OS, Rabinstein AA. Posterior reversible encephalopathy syndrome: associated clinical and radiologic findings. Mayo Clin Proc 2010;85:427-32.
  12. Garg RK. Posterior leukoencephalopathy syndrome. Postgrad Med J 2001;77:24-8.
  13. Kahana A, Rowley HA, Weinstein JM. Cortical blindness: clinical and radiologic findings in reversible posterior leukoencephalopathy syndrome: case report and review of the literature. Ophthalmology 2005;112:e7-11.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.