Postpartum amaurosis in a woman with severe preeclampsia
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The maternal and perinatal fetal prognosis of preeclampsia depends on the gestational age of the fetus at onset, the severity of the disease, the quality of care, and the presence of pre-existent medical conditions. One of the uncommon effects of severe preeclampsia on the eye is sudden loss of vision. The patient was a 28-year-old woman with polycystic kidney disease and known arterial hypertension since her first pregnancy 5 years earlier, for which she was taking methyldopa.She was seen for hematuria in the obstetrics department in week 31 of pregnancy. Arterial hypertension (170/120 mmHg) detected in the physical examination motivated her hospitalization.The hematuria resolved in 24–48 hours, but high blood pressure (150/90 mmHg) persisted despite initial treatment with hydralazine. Proteinuria (0.93 g/24 h) and impaired renal function (creatinine 1.3 mg/dl) were present, but no evidence of hemolysis, elevation of transaminases or uric acid, or thrombocytopenia was found. In view of the patient's preeclampsia and a nonreactive fetal pattern, the infant was delivered by cesarean section on day 7 of hospitalization...

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