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Persistent Visual Loss After Retinochoroidal Infarction in Pregnancy-Induced Hypertension and Disseminated Intravascular Coagulation

Patel, Nishal MRCOphth; Riordan-Eva, Paul FRCOphth; Chong, Victor FRCOphth

Journal of Neuro-Ophthalmology: June 2005 - Volume 25 - Issue 2 - pp 128-130
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A 40-year-old woman had pregnancy-induced hypertension, disseminated intravascular coagulation (DIC), choroidal infarction, and magnetic resonance imaging (MRI) high-signal abnormalities in the occipital regions. With successful treatment of the hypertension and spontaneous resolution of the DIC, the MRI signal abnormalities resolved, but visual acuity remained decreased because of damage to the retina and choroid. This case demonstrates that pregnancy-induced hypertension, particularly if combined with DIC, may produce infarction of the retina and choroid and persistent visual loss even if the effect of this condition on the occipital lobes is limited to reversible vasogenic edema.

Retinal Research Unit, King's College Hospital, University of London, London, England.

Address correspondence to Dr. Nishal Patel, Retinal Research Unit, Normandy Building, King's College Hospital, University of London, Denmark Hill, SE5 9RS, London, England; E-mail: drnish1975@yahoo.com, nishal@eretina.com

© 2005 Lippincott Williams & Wilkins, Inc.