Spontaneous outer retinal layer recovery in a case of hypertensive choroidopathy secondary to pre-eclampsia: a multimodal evaluation

• Published in: Arquivos brasileiros de oftalmologia Vol. 82; no. 6; pp. 522 - 527
• Main Authors: Ferreira, Bruno Fortaleza de Aquino, Kreuz, André Carvalho, Diniz, Patricia Martini, Rocha, João Vitor Santos Sampaio, Pimentel, Sérgio Luis Gianotti
• Format: Journal Article
• Language: English; Portuguese
• Published: Brazil Conselho Brasileiro de Oftalmologia 2019
• Subjects: Adult; Choroid Diseases - diagnostic imaging; Choroid Diseases - etiology; Female; Fluorescein Angiography - methods; Humans; Hypertension - diagnostic imaging; Hypertension - etiology; OPHTHALMOLOGY; Pre-Eclampsia; Pregnancy; Remission, Spontaneous; Retinal Pigment Epithelium - diagnostic imaging; Retinal Pigment Epithelium - pathology; Tomography, Optical Coherence - methods; Pré-eclâmpsia; Barreira hematorretiniana; Doenças da coróide; Optical imaging; Segmento externo das células fotorreceptoras da retina; Pre-eclampsia; Tomography, optical coherence; Pregnancy; Fluorescein angiography; Angiofluoresceínografia; Case report; Relato de caso; Choroid diseases; Retinal photoreceptor cell outer segment; Imagem óptica; Blood-retinal barrier; Tomografia de coerência óptica; Gravidez
• ISSN: 0004-2749; 1678-2925; 1678-2925
• DOI: 10.5935/0004-2749.20190100

A 26-year-old woman presented at 28 weeks gestation with hypertensive choroidopathy associated with pre-eclampsia. Fundus photography, fundus autofluorescence, spectral-domain optical coherence tomography (SD-OCT), fluorescein angiography, and indocyanine green angiography were performed in both eyes in the immediate postoperative period. SD-OCT images were obtained before delivery and during a 3-month follow-up. Fundus autofluorescence exhibited patchy hyper- and hypoautofluorescent lesions; fluorescein and indocyanine green angiography revealed areas of choroidal ischemia; and SD-OCT showed disorganization of the outer retinal layers and disruption of the ellipsoid zone. After her blood pressure was stabilized, progressive recovery of the outer retinal layer was monitored on SD-OCT.