Development of Purtscher-like retinopathy after pre-eclampsia combined with acute pancreatitis.
10.5468/ogs.2013.56.4.261
- Author:
Sun Young JEON
1
;
Eui JUNG
;
Hyun Joo SEOL
;
Yun Jung HUR
Author Information
1. Department of Obstetrics and Gynecology, Kyung Hee University School of Medicine, Seoul, Korea. eui2536@hanmail.net
- Publication Type:Case Report
- Keywords:
Pancreatitis;
Pre-eclampsia;
Retinal diseases;
Vision disorders
- MeSH:
Abdominal Pain;
Cesarean Section;
Female;
Gynecology;
Humans;
Obstetric Labor, Premature;
Obstetrics;
Pancreatitis;
Pre-Eclampsia;
Pregnancy;
Pregnancy, Twin;
Retinal Diseases;
Vision Disorders;
Visual Acuity
- From:Obstetrics & Gynecology Science
2013;56(4):261-264
- CountryRepublic of Korea
- Language:English
-
Abstract:
Visual disturbances are common among women with pre-eclampsia. The obstetricians should have an understanding of the various conditions associated with visual impairments. We report a case of Purtscher-like retinopathy developed after pre-eclampsia combined with acute pancreatitis. A 33-year-old primigravida with twin pregnancy was admitted to the department of obstetrics and gynecology for preterm labor and pre-eclampsia at 36+4 weeks gestation. After a cesarean section, she complained of abdominal pain and visual acuity loss. She was diagnosed with Purtscher-like retinopathy combined with acute pancreatitis after ophthalmologic examination and an abdominal computed tomography scan. Purtscher-like retinopathy, most often observed after trauma, is very rare in pre-eclampsia. In addition, while visual disturbances from other conditions are transient, it can result in persistent visual impairments. Thus, when a patient with pre-eclampsia complains of visual problems for a long period of time, obstetricians should consider an ophthalmologic evaluation and treatments during the earliest stage of the disease.
