Bilateral Central Serous Chorioretinopathy (CRSC) in Pregnancy Complicated with Retroplacental Hematoma: About a Case  

作　　者：Daouda Goita Moro Sidibe Mala Sylla Nana Wangara Mamadou Kolé Sidibe Adama Dembele Gounon Saye Abdoulaye Napo Nouhoum Guirou Adama Guindo Mamadou Adama Togo Abdoulaye Nouhoum Coulibaly Oumar Diallo Japhet Popanou Thera Lamine Traore Daouda Goita;Moro Sidibe;Mala Sylla;Nana Wangara;Mamadou Kolé Sidibe;Adama Dembele;Gounon Saye;Abdoulaye Napo;Nouhoum Guirou;Adama Guindo;Mamadou Adama Togo;Abdoulaye Nouhoum Coulibaly;Oumar Diallo;Japhet Popanou Thera;Lamine Traore(BOUGOUNI Reference Health Center, Bougouni, Mali;Sikasso Regional Hospital, Mali/Alliance for the Development of Community Ophthalmology (ADOC), Bamako, Mali;Institute of Tropical Ophthalmology of Africa, Bamako, Mali/Alliance for the Development of Community Ophthalmology (ADOC), Bamako, Mali;Alliance for the Development of Community Ophthalmology (ADOC), Bamako, Mali;National Eye Health Program, Bamako, Mali)

机构地区：[1]BOUGOUNI Reference Health Center, Bougouni, Mali [2]Sikasso Regional Hospital, Mali/Alliance for the Development of Community Ophthalmology (ADOC), Bamako, Mali [3]Institute of Tropical Ophthalmology of Africa, Bamako, Mali/Alliance for the Development of Community Ophthalmology (ADOC), Bamako, Mali [4]Alliance for the Development of Community Ophthalmology (ADOC), Bamako, Mali [5]National Eye Health Program, Bamako, Mali

出　　处：《Open Journal of Ophthalmology》2023年第1期13-22,共10页眼科学期刊（英文）

摘　　要：Introduction: Central serous chorioretinopathy (CSCR) is associated with serous sensorineural retinal detachment in the macular region. The condition that affects the male gender more than their female counterpart results from focal leakage disturbance of retinal pigment epithelial cells and choroidal abnormalities. The corticosteroid is highlighted as one of the major factors that promote the occurrence of CSCR. Stress and pregnancy, especially in the third trimester, have also been reported by some authors. Central serous chorioretinopathy associated with pregnancy complicated by retroplacental hematoma is a rare event. Observation: We report the case of a pregnant woman at approximately 34 weeks of amenorrhea who presented a sudden and severe drop in visual acuity on a pregnancy complicated by retroplacental hematoma and delivered by cesarean section. The diagnosis was based on clinical arguments associated with photos of the retina made by the MII Ret Cam device (Made In India, Retinoscope Camera) highlighting the lifting of the macular region. Ophthalmological monitoring without medical or physical treatment was instituted. At two months of progression without treatment, bilateral visual acuity was 10/10. Conclusion: Central serous chorioretinopathy and pregnancy is not unusual;however, its bilateral and brutal form in a context of pregnancy complicated by retroplacental hematoma is rare. Despite this favorable evolution, monitoring remains necessary in order to prevent recurrences and complications.Introduction: Central serous chorioretinopathy (CSCR) is associated with serous sensorineural retinal detachment in the macular region. The condition that affects the male gender more than their female counterpart results from focal leakage disturbance of retinal pigment epithelial cells and choroidal abnormalities. The corticosteroid is highlighted as one of the major factors that promote the occurrence of CSCR. Stress and pregnancy, especially in the third trimester, have also been reported by some authors. Central serous chorioretinopathy associated with pregnancy complicated by retroplacental hematoma is a rare event. Observation: We report the case of a pregnant woman at approximately 34 weeks of amenorrhea who presented a sudden and severe drop in visual acuity on a pregnancy complicated by retroplacental hematoma and delivered by cesarean section. The diagnosis was based on clinical arguments associated with photos of the retina made by the MII Ret Cam device (Made In India, Retinoscope Camera) highlighting the lifting of the macular region. Ophthalmological monitoring without medical or physical treatment was instituted. At two months of progression without treatment, bilateral visual acuity was 10/10. Conclusion: Central serous chorioretinopathy and pregnancy is not unusual;however, its bilateral and brutal form in a context of pregnancy complicated by retroplacental hematoma is rare. Despite this favorable evolution, monitoring remains necessary in order to prevent recurrences and complications.

关 键 词：MII Ret Cam Central Serous Chorioretinitis Retroplacental Hematoma 

分 类 号：R71[医药卫生—妇产科学]