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Hypertensive choroidopathy with eclampsia viewed on spectral-domain optical coherence tomography

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Abstract

Purpose

We report a case of hypertensive choroidopathy with detailed retinal images obtained using spectral-domain optical coherence tomography (SD-OCT).

Case

A 19-year-old pregnant woman with no history of high blood pressure had an eclamptic seizure at the 39th week of pregnancy; the baby was delivered by emergency Caesarean section. Six days later, she presented with bilateral blurred vision (best-corrected visual acuity [VA], 0.5, right eye; 0.3, left eye). Bilateral extensive, punctate, pale-yellow Elschnig’s spots were present in the posterior fundus. SD-OCT showed a serous retinal detachment (SRD) and retinal pigment epithelium detachment (PED) representing a waveform retinal pigment epithelium (RPE) layer in each eye. The reflective intensity decreased partly at the waveform RPE. A wavy structure suggestive of fibrin was present in both foveas between the photoreceptor ellipsoid zone and the RPE-outer segment line. Four weeks after delivery and oral antihypertensive treatment, the SRDs, PEDs and wavy structure resolved and the VA recovered.

Conclusion

SD-OCT visualized SRDs, PEDs, wavy structures under the photoreceptor ellipsoid zone, and areas of low intensity RPE layer in hypertensive choroidopathy.

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Acknowledgments

Supported by a Grant-in-Aid for Challenging Exploratory Research 23659803 (R.K.) from the Ministry of Education, Science, and Culture, Tokyo, Japan

Conflict of Interest

The authors have no financial interest in any aspect of this report.

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Authors and Affiliations

  1. Department of Ophthalmology, Asahikawa Medical University, Asahikawa, Japan

    Young-seok Song, Reiko Kinouchi & Akitoshi Yoshida

  2. Department of Ophthalmology, Asahikawa Medical University, Midorigaoka Higashi 2-1-1-1, Asahikawa, 078-8510, Japan

    Reiko Kinouchi, Satoshi Ishiko & Katsuhiko Fukui

Authors
  1. Young-seok Song
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  2. Reiko Kinouchi
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  3. Satoshi Ishiko
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  4. Katsuhiko Fukui
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  5. Akitoshi Yoshida
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Corresponding author

Correspondence to Reiko Kinouchi.

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Song, Ys., Kinouchi, R., Ishiko, S. et al. Hypertensive choroidopathy with eclampsia viewed on spectral-domain optical coherence tomography. Graefes Arch Clin Exp Ophthalmol 251, 2647–2650 (2013). https://doi.org/10.1007/s00417-013-2462-9

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  • DOI: https://doi.org/10.1007/s00417-013-2462-9

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