Journal of the Korean Ophthalmological Society 1991;32(3):241-247.
Published online March 1, 1991.
A Clinical Study of Spontaneous Retinal Detachment in Pregnancy induced Hypertansion.
Se Hyun Nam, Song Hee Park, Hanho Shin
Department of Ophthalmology, College of Medicine, Soonchunhyung University, Korea.
자간전증 및 자간증에서의 망막박리에 대한 임상분석
남세현(Se Hyun Nam),박성희(Song Hee Park),신환호(Han Ho Shin)
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.
Key Words: retinal detachment;pregnancy induced hypertension;choroidal damage


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