{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,9]],"date-time":"2025-05-09T00:52:23Z","timestamp":1746751943453,"version":"3.40.4"},"reference-count":11,"publisher":"Georg Thieme Verlag KG","issue":"04","license":[{"start":{"date-parts":[[2025,4,16]],"date-time":"2025-04-16T00:00:00Z","timestamp":1744761600000},"content-version":"vor","delay-in-days":15,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Klin Monbl Augenheilkd"],"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Purpose To elucidate the development and resolution of a unilateral acute serous retinal detachment (SRD) in a healthy patient following a complicated postpartum haemorrhage. This underscores the impact of systemic volume alterations and stress-induced factors on retinal fluid balance.<\/jats:p><jats:p>\n          Background Postpartum SRD is observed in individuals with pre-eclampsia and patients with previously diagnosed central serous chorioretinopathy, both attributed to hormonal and volumetric fluctuations during pregnancy.<\/jats:p><jats:p>\n          Case Description A 33-year-old woman presented with metamorphopsia and blurry vision in her left eye 24 hours following childbirth complicated by haemorrhagic shock. Notably, the patient had pre-delivery physiological vital signs with no alterations of consciousness, arterial blood pressure, or renal function. At presentation, the visual acuity in the left eye was 1.0 decimals and the anterior segment was within normal limits, while fundoscopy revealed a slight alteration in the foveal reflex. Spectral-domain optical coherence tomography (SD-OCT) revealed the presence of a dome-shaped SRD in the foveal region with a central foveal thickness of 279\u2009\u00b5m and pachychoroid at 410\u2009\u00b5m retro-foveally. The examination of the right eye and SD-OCT were unremarkable, except for the presence of pachychoroid at 367\u2009\u00b5m retro-foveally. No treatment was initiated. At 48 hours, SD-OCT scans revealed complete resorption of the SRD in the left eye with a persistent focal alteration in the\n          foveal region of the ellipsoid zone. Retro-foveal choroid thickness (RCT) was unchanged. At one month, visual acuity remained stable, and the patient was no longer symptomatic. The left eye SD-OCT revealed a reduction in CFT (279\u2009\u00b5m vs. 224\u2009\u00b5m, a 20.2% reduction) and RCT (410\u2009\u00b5m vs. 360\u2009\u00b5m, a 14.6% reduction) compared to baseline. Remarkably, the right eye also exhibited a 14.9% reduction in RCT (367\u2009\u00b5m vs. 309\u2009\u00b5m).<\/jats:p><jats:p>\n          Conclusion This case highlights the role that postpartum systemic changes and complications can play in the occurrence of retinal and choroidal changes. We believe that in this specific case, the development of acute SRD was probably due to oncotic fluctuations related to the hypovolaemic status following postpartum haemorrhage. This also emphasises the utility of SD-OCT for assessment and follow-up monitoring, providing valuable insights into retinal and choroidal changes over time.<\/jats:p>","DOI":"10.1055\/a-2542-5369","type":"journal-article","created":{"date-parts":[[2025,4,16]],"date-time":"2025-04-16T22:40:16Z","timestamp":1744843216000},"page":"413-417","source":"Crossref","is-referenced-by-count":1,"title":["Unilateral Acute Serous Retinal Detachment with Pachychoroid Following Postpartum Haemorrhage: A Case Report"],"prefix":"10.1055","volume":"242","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0063-9165","authenticated-orcid":false,"given":"Enrico","family":"Meduri","sequence":"additional","affiliation":[{"name":"Ophthalmology, Hopitaux Universitaires Geneve, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ariane","family":"Malcl\u00e8s","sequence":"additional","affiliation":[{"name":"Ophthalmology, Hopitaux Universitaires Geneve, Switzerland"},{"name":"Ophthalmology, University of Geneva, Faculty of Medicine, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gabriele","family":"Thumann","sequence":"additional","affiliation":[{"name":"Ophthalmology, Hopitaux Universitaires Geneve, Switzerland"},{"name":"Ophthalmology, University of Geneva, Faculty of Medicine, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4756-8715","authenticated-orcid":false,"given":"Giorgio Enrico","family":"Bravetti","sequence":"additional","affiliation":[{"name":"Ophthalmology, Hopitaux Universitaires Geneve, Switzerland"},{"name":"Ophthalmology, University of Geneva, Faculty of Medicine, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2025,4,16]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"omad109","DOI":"10.1093\/omcr\/omad109","article-title":"Bilateral serous retinal detachment in pre-eclampsia a rare but favorable complication: case report","volume":"2023","author":"A Benlghazi","year":"2023","journal-title":"Oxf Med Case Reports"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"202","DOI":"10.1016\/j.joco.2017.11.012","article-title":"Ocular changes during pregnancy","volume":"30","author":"M Naderan","year":"2018","journal-title":"J Curr Ophthalmol"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"62","DOI":"10.4103\/jovr.jovr_195_17","article-title":"Management of Retinal Diseases in Pregnant Patients","volume":"13","author":"J M Rosenthal","year":"2018","journal-title":"J Ophthalmic Vis Res"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"4","DOI":"10.1167\/iovs.64.6.4","article-title":"IMI-The Dynamic Choroid: New Insights, Challenges, and Potential Significance for Human Myopia","volume":"64","author":"L A Ostrin","year":"2023","journal-title":"Invest Ophthalmol Vis Sci"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"205","DOI":"10.1093\/bmb\/ldg016","article-title":"Post-partum haemorrhage: definitions, medical and surgical management. 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