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KMID : 0358420130560040261
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Korean Journal of Obstetrics and Gynecology
2013 Volume.56 No. 4 p.261 ~ p.264
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Development of Purtscher-like retinopathy after pre-eclampsia combined with acute pancreatitis
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Jeon Sun-Young
Jung Eui
Seol Hyun-Joo
Hur Yun-Jung
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Abstract
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Visual disturbances are common among women with pre-eclampsia. The obstetricians should have an understanding of the various conditions associated with visual impairments. We report a case of Purtscher-like retinopathy developed after pre-eclampsia combined with acute pancreatitis. A 33-year-old primigravida with twin pregnancy was admitted to the department of obstetrics and gynecology for preterm labor and pre-eclampsia at 36+4 weeks gestation. After a cesarean section, she complained of abdominal pain and visual acuity loss. She was diagnosed with Purtscher-like retinopathy combined with acute pancreatitis after ophthalmologic examination and an abdominal computed tomography scan. Purtscher-like retinopathy, most often observed after trauma, is very rare in pre-eclampsia. In addition, while visual disturbances from other conditions are transient, it can result in persistent visual impairments. Thus, when a patient with pre-eclampsia complains of visual problems for a long period of time, obstetricians should consider an ophthalmologic evaluation and treatments during the earliest stage of the disease.
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KEYWORD
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Pancreatitis, Pre-eclampsia, Retinal diseases, Vision disorders
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