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Retinal hemorrhages as one of complications of optic disc drusen during pregnancy.
MedLine Citation:
PMID:  25033580     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
INTRODUCTION: Drusen of the optic nerve head are relatively benign and asymptomatic. They represent retinal hyaline corpuscles resulting from impaired axoplasmic transport of the retinal ganglion cells of optic nerve in front of the lamina cribrosa. They are usually detected accidentally, during a routine ophthalmologic examination. Most patients with optic disc drusen are not aware of the deterioration of their eyesight because of the slow progression of visual field defects. Damage in visual acuity due to optic disc drusen is rare.
CASE REPORT: A 27-year-old female patient in the sixth month of pregnancy visited an ophthalmologist because of a visual impairment described as the appearance of mist and shadows over her right eye. When first examined, her visual acuity in both eyes was 20/20. The retinal hemorrhages framing the bottom half of the optic nerve were seen. Complete laboratory and clinical testing as well as specific ophthalmic examinations (photofundus, computerized visual field, optical coherence tomography, and ultrasound) were performed to exclude systemic causes and they presented no risk for the pregnancy. Echosonographic examination confirmed the presence of bilateral optic nerve head drusen.
CONCLUSION: Hemodynamic changes during pregnancy are possible factors for the development of optical disc and retinal hemorrhages. Since treatment of optic disc drusen is limited, recognition of optic nerve drusen as a cause of hemorrhage during pregnancy prevents unnecessary diagnostic and therapeutic interventions.
Authors:
Marija Trenkić Bozinović; Predrag Jovanović; Gordana Zlatanović; Dragan Veselinović; Aleksandra Aracki Trenkić; Milan Trenkić
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Medicinski pregled     Volume:  67     ISSN:  0025-8105     ISO Abbreviation:  Med. Pregl.     Publication Date:    2014 May-Jun
Date Detail:
Created Date:  2014-07-18     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  2985249R     Medline TA:  Med Pregl     Country:  Serbia    
Other Details:
Languages:  eng     Pagination:  185-9     Citation Subset:  IM    
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