Q: A 28-year-old female is admitted to the ICU with HELLP syndrome (hemolysis, elevated liver enzymes, and low platelets). Delivery was planned. The patient began reporting bilateral blurring of vision. What could be your concern?
Answer: Retinal detachment
Retinal detachment is an unusual but very well-documented complication of severe preeclampsia and patients with HELLP syndrome. An emergent ophthalmic consultation should be obtained in conjunction with the planned delivery.
#ob-gyn
# ophthalmology
#hepatology
Reference:
1. Teodoru CA, Tudor C, Cerghedean-Florea ME, Dura H, Tănăsescu C, Roman MD, Hașegan A, Munteanu M, Popa C, Vică ML, Matei HV, Stanca H. Bilateral Serous Retinal Detachment as a Complication of HELLP Syndrome. Diagnostics (Basel). 2023 Apr 26;13(9):1548. doi: 10.3390/diagnostics13091548. PMID: 37174940; PMCID: PMC10178147.
2. Vigil-De Gracia P, Ortega-Paz L. Retinal detachment in association with pre-eclampsia, eclampsia, and HELLP syndrome. Int J Gynaecol Obstet. 2011 Sep;114(3):223-5. doi: 10.1016/j.ijgo.2011.04.003. Epub 2011 Jun 29. PMID: 21719013.
3. Li M, Qu J. Exudative retinal detachment and hypertensive choroidopathy in a patient with suspected HELLP syndrome: a case report. BMC Ophthalmol. 2025 Jul 1;25(1):353. doi: 10.1186/s12886-025-04176-8. PMID: 40597840; PMCID: PMC12210448.
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