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Exudative retinal detachment without hipertensive retinopathyin toxemia of the pregnancy

SUMMARY

The toxemia of pregnancy is characterized by high blood pressure, generalized edema and proteinurea. The high blood pressure may be chronic or may start during the pregnancy, generally in the last trimester.

We report 7 cases of exudative retinal detachment in severe pre-eclamptic state. One of this cases is associated with subretinal haemorrhage. All cases improved their retinal detachments after delivery and high blood pressure control.

All patients had 20/25 or better VA and no alteration of visual field after 3 months follow up.

The angiographic study demonstrated choroidal vasculature abnormalities, without severe hipertensive retinopathy. These findings suggest that the pathogenesis of exudative retinal detachment is probably due to choricapilaris alteration.

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