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Open Access 01-12-2018 | Case report

Ultrasound assessment of visual loss during severe preeclampsia: a case report

Authors: Fehmi Ferhi, Abdeljalil Khlifi, Feten Hachani, Khalil Tarmiz, Khaled Benjazia

Published in: The Ultrasound Journal | Issue 1/2018

Abstract

Bilateral retinal detachments and cortical blindness are rare complications of preeclampsia and the association of the two pathologies is exceptional. We report the case of a preeclamptic patient who presented with an acute bilateral vision loss. Besides, her ocular ultrasound revealed bilateral retinal detachments and an elevated optic nerve sheath diameter. The patient underwent an urgent cesarean section. Subsequently, magnetic resonance imaging and ocular fundus examination confirmed the diagnosis.

Roos NM, Wiegman MJ, Jansonius NM, Zeeman GG (2012) Visual disturbances in (pre)eclampsia. Obstet Gynecol Surv 67(4):242–250. https://doi.org/10.1097/ogx.0b013e318250a457 CrossRefPubMed

Cunningham FG, Fernandez CO, Hernandez C (1995) Blindness associated with preeclampsia and eclampsia. Am J Obstet Gynecol 172:1291–1298. https://doi.org/10.1016/0002-9378(95)91495-1 CrossRefPubMed

Kane SC, Brennecke SP, Da Silva Costa F (2017) Ophthalmic artery doppler analysis: a window into the cerebrovasculature of women with preeclampsia. Ultrasound Obstet Gynecol 49(1):15–21. https://doi.org/10.1002/uog.17209 CrossRefPubMed

Rollins M, Flood P (2012) Imaging intracranial pressure: an introduction to ultrasonography of the optic nerve sheath. Anesthesiology 116:983–984. https://doi.org/10.1097/aln.0b013e31824c16e4 CrossRefPubMed

Jaffe G, Schatz H (1987) Ocular manifestations of preeclampsia. Am J Ophthalmol 103(3 Pt 1):309–315PubMed

Zeeman GG (2009) Neurologic complications of pre-eclampsia. Semin Perinatol 33(3):166–172. https://doi.org/10.1053/j.semperi.2009.02.003 CrossRefPubMed

Hansen H, Helmke K (1996) The subarachnoid space surrounding the optic nerves. An ultrasound study of the optic nerve sheath. Surg Radiol Anat 18(4):323–328. https://doi.org/10.1007/BF01627611 CrossRefPubMed

Dubourg J, Javouhey E, Geeraerts T, Messerer M, Kassai B (2011) Ultrasonography of optic nerve sheath diameter for detection of raised intracranial pressure: a systematic review and meta-analysis. Intensive Care Med 37(7):1059–1068. https://doi.org/10.1007/s00134-011-2224-2 CrossRefPubMed

Dubost C, Le Gouez A, Jouffroy V, Roger-Christoph S, Benhamou D, Mercier FJ, Geeraerts T (2012) Optic nerve sheath diameter used as ultrasonographic assessment of the incidence of raised intracranial pressure in preeclampsia: a pilot study. Anesthesiology 116:1066–1071. https://doi.org/10.1097/aln.0b013e318246ea1a CrossRefPubMed

10.

Potgieter DW, Kippin A, Ngu F, McKean C (2011) Can accurate ultrasonographic measurement of the optic nerve sheath diameter (a non-invasive measure of intracranial pressure) be taught to novice operators in a single training session? Anaesth Intensive Care 39:95–100PubMed

11.

Lochner P, Coppo L, Cantello R, Nardone R, Naldi A, Leone MA, Brigo F (2016) Intra- and interobserver reliability of transorbital sonographic assessment of the optic nerve sheath diameter and optic nerve diameter in healthy adults. J Ultrasound 19(1):41–45. https://doi.org/10.1007/s40477-014-0144-z CrossRefPubMed

12.

Schultz KL, Birnbaum AD, Goldstein DA (2005) Ocular disease in pregnancy. Curr Opin Ophthalmol 16(5):308–314. https://doi.org/10.1097/01.icu.0000179803.42218.cc CrossRefPubMed

13.

Vigil-De Gracia P, Ortega-Paz L (2011) Retinal detachment in association with pre eclampsia, eclampsia and HELLP syndrome. Int J Gynecol Obstet 114:223–225. https://doi.org/10.1016/j.ijgo.2011.04.003 CrossRef

14.

Amer R, Nalcı H, Yalçındağ N (2017) Exudative retinal detachment. Surv Ophthalmol 62(6):723–769. https://doi.org/10.1016/j.survophthal.2017.05.001 CrossRefPubMed

15.

Vrablik ME, Snead GR, Minnigan HJ, Kirschner JM, Emmett TW, Seupaul RA (2015) The diagnostic accuracy of bedside ocular ultrasonography for the diagnosis of retinal detachment: a systematic review and meta-analysis. Ann Emerg Med 65(2):199–203. https://doi.org/10.1016/j.annemergmed.2014.02.020 CrossRefPubMed

16.

Torloni MR, Vedmedovska N, Merialdi M, Betrán AP, Allen T, ISUOG-WHO Fetal Growth Study Group et al (2009) Safety of ultrasonography in pregnancy: WHO systematic review of the literature and meta-analysis. Ultrasound Obstet Gynecol 33:599–608. https://doi.org/10.1002/uog.6328 CrossRefPubMed

17.

Auger N, Fraser WD, Paradis G, Healy-Profitós J, Hsieh A, Rhéaume MA (2017) Preeclampsia and long-term risk of maternal retinal disorders. Obstet Gynecol 129(1):42–49. https://doi.org/10.1097/aog.0000000000001758 CrossRefPubMed

Title: Ultrasound assessment of visual loss during severe preeclampsia: a case report
Authors: Fehmi Ferhi
Abdeljalil Khlifi
Feten Hachani
Khalil Tarmiz
Khaled Benjazia
Publication date: 01-12-2018
Publisher: Springer Milan
Published in: The Ultrasound Journal / Issue 1/2018
Electronic ISSN: 2524-8987
DOI: https://doi.org/10.1186/s13089-018-0087-2

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