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      Review of the ophthalmic symptoms of preeclampsia

      1 , 2 , * ,
      Developments in Health Sciences
      Akadémiai Kiadó
      pregnancy, preeclampsia, vision, ocular complication, choroidal changes, retinal complication

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          Abstract

          Preeclampsia is a severe, sometimes life-threatening complication of pathological pregnancies. The incidence of neonatal morbidity and mortality is usually increased. Besides general maternal symptoms like hemolysis, low platelet number, elevated liver enzyme level, proteinuria, cardiovascular problems, neurological and cerebral complications, serious ophthalmic symptoms might occur. These include focal or generalized narrowing of the arterioles, flame-shaped retinal haemorrhages, and cotton-wool spots. Rarely, disc swelling, exudative retinal detachment, cystoid macular edema, bilateral occipital lobe infarction, or cortical blindness might occur. In this article, I review the retinal and macular changes, retinal detachment, and the cause of blindness. Optical coherence tomography (OCT) allows ophthalmologists to diagnose early and late changes in choroid vasculature and circulation, and consequent retinal morphological changes. Spectral-domain OCT and enhanced depth imaging provide important insight and possible prognosis for the course of the disease. After termination of the pathological pregnancy, vision returns to normal in most cases; unfortunately, there are some exceptions.

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          Author and article information

          Contributors
          Journal
          2066
          Developments in Health Sciences
          DHS
          Akadémiai Kiadó (Budapest )
          2630-9378
          2630-936X
          31 October 2020
          20 October 2020
          : 3
          : 1
          : 21-23
          Affiliations
          [1 ] Department of Ophthalmology, Faculty of Medicine, Semmelweis University , Budapest, Hungary
          [2 ] Department of Clinical Ophthalmology, Faculty of Health Sciences, Semmelweis University , Budapest, Hungary
          Author notes
          [* ]Corresponding author: Department of Clinical Ophthalmology, Faculty of Health Sciences, Semmelweis University , Vas utca 17, H-1088, Budapest, Hungary, nagy.zoltan_zsolt@ 123456med.semmelweis-univ.hu
          Article
          10.1556/2066.2020.00005
          c9f619c7-02e7-4213-a593-b6172ca6a911
          © 2020 The Author(s)

          Open Access. This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 International License ( https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited, a link to the CC License is provided, and changes – if any – are indicated. (SID_1)

          Page count
          References: 10, Pages: 03
          Categories
          Review Article
          Custom metadata
          1

          Medicine,Immunology,Health & Social care,Microbiology & Virology,Infectious disease & Microbiology
          retinal complication,choroidal changes,ocular complication,vision,preeclampsia,pregnancy

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