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A CASE OF HELLP SYNDROME: THE IMPORTANCE OF ANGIOGRAPHY WITH INDOCIANINE GREEN FOR DIAGNOSIS OF RETINIC AND CHOROIDAL VASCULAR OCCLUSION.

R. Franceschini, A. Moramarco, M.E. Latronico, C. Simi, A. Caporossi
  • R. Franceschini
    Department of Dentistry and Ophtalmology Section of Ophtalmology, University of Siena, Italy | franceschini@unisi.it
  • A. Moramarco
    Department of Dentistry and Ophtalmology Section of Ophtalmology, University of Siena, Italy
  • M.E. Latronico
    Department of Dentistry and Ophtalmology Section of Ophtalmology, University of Siena, Italy
  • C. Simi
    Department of Dentistry and Ophtalmology Section of Ophtalmology, University of Siena, Italy
  • A. Caporossi
    Department of Dentistry and Ophtalmology Section of Ophtalmology, University of Siena, Italy

Abstract

Purpose. To present a case of retinal and choroidal vascular occlusion in conjunction with HELLP syndrome. Methods. A 35 years-old woman presented with HELLP syndrome underwent cesarean delivery for preeclampsia. After 2 months she had a decrease of vision in OD. She had performed an eye examination with FAG and ICG. results. The FAG shows at the posterior pole in the perifoveola temporal area different areas of hyperfluorescence. ICG reveals frameworks of hypoperfusion in perimacular areas, for the probable presence of ischemic foci. After about 5 mounths she presented an improvement in visual acuity and a complete resolution of Ophtalmoscopic findings. Conclusions. Ophtalmic complications are possible during this syndrome. This is the first description of a patient suffering a retinal and choroidal vascolar occlusion after HELLP syndrome, and we report the important of ICG for diagnosis of choroidal ischemia.

Keywords

HELLP syndrome, preeclampsia, retinal and choroidal vascular occlusion, thrombotic microangiopathic vasculopathy

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Submitted: 2012-05-15 11:53:19
Published: 2012-05-15 13:22:23
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Copyright (c) 2012 R. Franceschini, A. Moramarco, M.E. Latronico, C. Simi, A. Caporossi

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