PT  - JOURNAL ARTICLE
AU  - Erbagci, Ibrahim
AU  - Karaca, Mehmet
AU  - Ugur, Mete G.
AU  - Okumus, Seydi
AU  - Bekir, Necdet A.
TI  - Ophthalmic manifestations of 107 cases with hemolysis, elevated liver enzymes and low platelet count syndrome
DP  - 2008 Aug 01
TA  - Saudi Medical Journal
PG  - 1160--1163
VI  - 29
IP  - 8
4099  - http://smj.org.sa/content/29/8/1160.short
4100  - http://smj.org.sa/content/29/8/1160.full
SO  - Saudi Med J2008 Aug 01; 29
AB  - OBJECTIVE: To present various ophthalmologic disorders in a clinical series of hemolysis, elevated liver enzymes and low platelet count (HELLP) syndrome cases.METHODS: This is a prospective clinical study performed between 2002 and 2005. One hundred seven HELLP patients attended in either Departments of Ophthalmology or Obstetrics and Gynecology, Medical School, Gaziantep University, Gaziantep, Turkey were evaluated.RESULTS: Mean age was 25.5 (22-36 years). Mean levels were 2.5 gravidity, 1.3 parity, 55,200/mm3 platelet counts, 308.7 U/l aspartate transaminase, 255.4 U/l alanine transaminase, and 1711.6 U/I lactate dehydrogenase. Four patients died (3.7%) despite the proper treatments. Cortical blindness was observed in 3 cases (2.7%), serous retinal detachments in 4 (3.7%), and mild hypertension changes in 18 (16%).CONCLUSION: Ophthalmic complications are possible during and after this syndrome. Almost all ophthalmologic changes recover after delivery by cesarean section, nevertheless, it is essential that ophthalmologists should be aware of retinal disorders when this fatal complication of pregnancy is encountered.