Open AccessA CASE OF HELLP SYNDROME: THE IMPORTANCE OF ANGIOGRAPHY WITH INDOCIANINE GREEN FOR DIAGNOSIS OF RETINIC AND CHOROIDAL VASCULAR OCCLUSION.
Author(s) -
Rossella Franceschini,
Antonio Moramarco,
M.E. Latronico,
C Simi,
Aldo Caporossi
Publication year - 2012
Publication title -
journal of the siena academy of sciences
Language(s) - English
Resource type - Journals
eISSN - 2279-882X
pISSN - 2279-8811
DOI - 10.4081/jsas.2010.38
Subject(s) - hellp syndrome , medicine , preeclampsia , occlusion , angiography , ophthalmology , perfusion , surgery , vascular occlusion , radiology , pregnancy , genetics , biology
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 fordiagnosisof choroidal ischemia