Weinstein et al. first described the HELLP (
hemolytic anemia, elevated
liver enzymes, and low
platelets)
syndrome in 1982. The
incidence of
HELLP syndrome is 0.2~0.6% in normal
pregnant women and 4~12% in
women with
preeclampsia. This
syndrome is accompanied by serious medical
complications, including hepatic and
renal failure, coagulopathy,
hypertension, and
pulmonary edema.
Retinal detachment is an unusual, but well documented, complication of hypertensive disorder in
pregnancy affecting 0.2~2% of
patients with severe
preeclampsia and 0.9% of
patients with
HELLP syndrome. This
paper reports on a
patient with
HELLP syndrome accompanied by
retinal detachment who recovered after controlling the
blood pressure and receiving systemic
steroids.