PMC4461088_01
Retinography 12 hours post partum.. Notes: Bilateral optic disc edema, narrowing, and irregularity of retinal arteries with arteriovenous nicking, diffuse cotton wool spots, intraretinal and subretinal transudates, and multiple superficial and deep retinal hemorrhages. (A) right eye; (B) left eye.
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Ophthalmologic fundus examination 12 hours after delivery had similar results, ie, bilateral optic disc edema, narrowing and irregularity of the retinal arteries, with arteriovenous nicking, diffuse cotton wool spots, intraretinal and subretinal exudates, and multiple superficial and deep retinal hemorrhages (Figure 1).
Fluorescein angiogram in early and late phases 12 hours post partum.. Notes: Fluorescein angiogram revealed delayed perfusion of the choriocapillaris in both eyes. The posterior pole and peripheral retina presented multiple capillary dilations, focal venous bleeding, capillary nonperfusion areas, retinal hemorrhages, and late leakage in the optic disc. Multiple areas of focal choroidal ischemia (Elschnig's spots). (A) and (B) right eye; (C) and (D) left eye.
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Multiple areas of focal choroidal ischemia (Elschnig's spots) were seen (Figure 2A-D).
Optical coherence tomography 12 hours post partum.. Notes: Retinal edema, retina serous detachments presenting with a hyperreflective posterior surface of the detached retina, subretinal hyperrreflective lesions corresponding to subretinal transudates, and a thickened peripapillary retinal nerve fiber layer corresponding to optic disc edema. (A) and (B) right eye; (C) and (D) left eye. Insets are infrared fundus image with corresponding OCT.
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Optical coherence tomography 12 hours post partum showed retinal edema, retinal serous detachments presenting with a hyperreflective posterior surface of the detached retina, subretinal hyperreflective lesions corresponding to subretinal exudates, and a thickened peripapillary retinal nerve fiber layer corresponding to optic disc edema (Figure 3A-D).
Follow-up examination at 6 months after the acute phase.. Notes: Complete resolution of previous serous detachments, diffuse arteriolar constriction, and multiple yellowish subretinal discoloration spots. (A) right eye; (B) left eye.
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Follow-up examination 6 months after the acute phase revealed complete resolution of previous serous detachments, diffuse arteriolar constriction, and multiple yellowish subretinal discoloration spots (Figure 4A and B).