Ceguera post parto

Amaurosis postparto en una mujer con preeclampsia severa  Postpartum amaurosis in a woman with severe preeclampsia. Mourelo M, Álvarez M, Díaz JL, García T, Galeiras R, Freire D. Indian J Crit Care Med [serial online] 2011 [cited 2012 Jan 20];15:227-9.Available 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 present case report is of a woman with severe preeclampsia exacerbated by delivery that coursed with difficult-to-control arterial hypertension and reversible cortical amaurosis without impaired consciousness or seizures. http://www.ijccm.org/temp/IJCCM154227-6110924_165829.pdf http://www.ijccm.org/text.asp?2011/15/4/227/92077   Informe de caso: Eclampsia de inicio tardío manifestada como ceguera bilateral cortical Case report: Late-onset eclampsia presents as bilateral cortical blindness. Gold KJ, Barnes C, Lalley J, Schwenk TL Am Fam Physician. 2005 Mar 1;71(5):856, 858, 861. TO THE EDITOR: Although preeclampsia is typically diagnosed in the prenatal period, we would like to describe an unusual case of late-onset eclampsia presenting postpartum as sudden bilateral cortical blindness. The patient was a healthy, 21-year-old black woman, gravida three, para one, with a previous normal pregnancy and no history of hypertension or preeclampsia. She had an unremarkable prenatal course and her blood pressure prenatally ranged from 98/62 mm Hg to 130/80 mm Hg one week before delivery. Urine protein was zero or trace at all visits. She delivered a healthy 2,670 g (5 lb, 8 oz) male infant at term. Blood pressures immediately postpartum were mostly 120s to 130s/60s to 70s mm Hg with occasional pressures of 140 to 150/80 to 90 mm Hg http://www.aafp.org/afp/2005/0301/p856a.html     Amaurosis bilateral cortical en preeclampsia severa Arlette Adauy E., Enrique Valdés R. Hugo Salinas P., Pamela Rojas M.a, Cristián Miranda M. Rev Chil Obst Ginecol 2005;69;460-63 Resumen Se presenta un caso clínico con diagnóstico final de preeclampsia severa que debuta con una complicación excepcional, la amaurosis bilateral cortical. Se discute esta presentación poco frecuente, realizándose una revisión actualizada. PALABRAS CLAVE: Preeclampsia, eclampsia, amaurosis cortical http://www.scielo.cl/pdf/rchog/v69n6/art09.pdf

Atentamente Dr. Benito Cortes-Blanco Anestesiología y Medicina del Dolor www.anestesia-dolor.org