J Korean Ophthalmol Soc.  1991 Mar;32(3):241-247.

A Clinical Study of Spontaneous Retinal Detachment in Pregnancy induced Hypertansion

• Nam SH
• Park SH
• Shin H

Abstract

Retinal detachment is a rare and unusual complication of preeclampsia. In 6,194 consecutive deliveries from January 1987 to July 1990 at the Soonchunhuang University Hospital, pregnancy induced hypertension was diagnosed in 223 patients(3.6%), and in 11 cases serous retinal detachment occured. We studied retrospectively the incidence, clinical characteristics and pathophysiology of the retinal detachment in the pregnany induced hypertension. The results were as follows: 1. Retinal detachment was serous type and mostly bilateral(90.9%). 2. Retinal detchment occured principally in primigravid(63.64%). 3. Serotts retinal detachment occured in 11 cases in 6,194 consecutive diliveries(0.18%) with 9 cases in 211 preeclampsia(4.27%) and 2 cases in 12 eclampsia(17.67%). 4. Reattachment of the retina occured at an interval of 7 to 29 days with an average interval of 14 days after delivery. 5. The fluorescein angiographic findings provide clinical evidence that retinal detachment in pregnancy induced hypertension is secondary to choroidal damage.

Keyword

retinal detachment; pregnancy induced hypertension; choroidal damage

MeSH Terms

Choroid
Female
Fluorescein
Hypertension
Hypertension, Pregnancy-Induced
Incidence
Pre-Eclampsia
Pregnancy*
Retina
Retinal Detachment*
Retinaldehyde*
Retrospective Studies
Fluorescein
Retinaldehyde