Sickle Cell Trait Presenting as Unilateral Proliferative Retinopathy and Macular Thinning in a Pregnant Woman

Background. To report a case of a pregnant woman with sickle cell trait (SCT) who presented with unilateral proliferative sickle cell retinopathy. Case Presentation. A 26-year-old otherwise healthy pregnant woman presented with the complaint of visual loss in her left eye. The funduscopic examinatio...

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Main Authors: Sepideh Ghods, Elias Khalili Pour, Hooshang Faghihi, Golnaz Gharehbaghi, Ahmad Mirshahi, Fariba Ghassemi, Bahman Inanloo, Hamid Riazi-Esfahani
Format: Article
Language:English
Published: Wiley 2021-01-01
Series:Case Reports in Ophthalmological Medicine
Online Access:http://dx.doi.org/10.1155/2021/5988889
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author Sepideh Ghods
Elias Khalili Pour
Hooshang Faghihi
Golnaz Gharehbaghi
Ahmad Mirshahi
Fariba Ghassemi
Bahman Inanloo
Hamid Riazi-Esfahani
author_facet Sepideh Ghods
Elias Khalili Pour
Hooshang Faghihi
Golnaz Gharehbaghi
Ahmad Mirshahi
Fariba Ghassemi
Bahman Inanloo
Hamid Riazi-Esfahani
author_sort Sepideh Ghods
collection DOAJ
description Background. To report a case of a pregnant woman with sickle cell trait (SCT) who presented with unilateral proliferative sickle cell retinopathy. Case Presentation. A 26-year-old otherwise healthy pregnant woman presented with the complaint of visual loss in her left eye. The funduscopic examination showed vitreous hemorrhage, sea fan neovascularization, and pale optic disc. Optical coherence tomography revealed macular inner retinal layer thinning and foveal splaying (saucerization of the foveal pit). The investigations, including hemoglobin electrophoresis, verified the diagnosis of sickle cell trait. Blood pressure, fasting blood glucose tests, and tuberculin skin tests were normal. We treated the patient by peripheral retinal photocoagulation over the area of nonperfusion. Conclusion. Even though the sickle cell trait is generally considered as a milder form of sickle cell disease without severe retinal manifestations, pregnancy should be considered as a trigger that can induce proliferative changes and foveal splaying in this group of patients.
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institution Kabale University
issn 2090-6730
language English
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series Case Reports in Ophthalmological Medicine
spelling doaj-art-6ccc2181b17c4fc4a82b20843356f51d2025-02-03T01:26:56ZengWileyCase Reports in Ophthalmological Medicine2090-67302021-01-01202110.1155/2021/5988889Sickle Cell Trait Presenting as Unilateral Proliferative Retinopathy and Macular Thinning in a Pregnant WomanSepideh Ghods0Elias Khalili Pour1Hooshang Faghihi2Golnaz Gharehbaghi3Ahmad Mirshahi4Fariba Ghassemi5Bahman Inanloo6Hamid Riazi-Esfahani7Eye Research CenterEye Research CenterEye Research CenterAliasghar Clinical Research Development CenterEye Research CenterEye Research CenterEye Research CenterEye Research CenterBackground. To report a case of a pregnant woman with sickle cell trait (SCT) who presented with unilateral proliferative sickle cell retinopathy. Case Presentation. A 26-year-old otherwise healthy pregnant woman presented with the complaint of visual loss in her left eye. The funduscopic examination showed vitreous hemorrhage, sea fan neovascularization, and pale optic disc. Optical coherence tomography revealed macular inner retinal layer thinning and foveal splaying (saucerization of the foveal pit). The investigations, including hemoglobin electrophoresis, verified the diagnosis of sickle cell trait. Blood pressure, fasting blood glucose tests, and tuberculin skin tests were normal. We treated the patient by peripheral retinal photocoagulation over the area of nonperfusion. Conclusion. Even though the sickle cell trait is generally considered as a milder form of sickle cell disease without severe retinal manifestations, pregnancy should be considered as a trigger that can induce proliferative changes and foveal splaying in this group of patients.http://dx.doi.org/10.1155/2021/5988889
spellingShingle Sepideh Ghods
Elias Khalili Pour
Hooshang Faghihi
Golnaz Gharehbaghi
Ahmad Mirshahi
Fariba Ghassemi
Bahman Inanloo
Hamid Riazi-Esfahani
Sickle Cell Trait Presenting as Unilateral Proliferative Retinopathy and Macular Thinning in a Pregnant Woman
Case Reports in Ophthalmological Medicine
title Sickle Cell Trait Presenting as Unilateral Proliferative Retinopathy and Macular Thinning in a Pregnant Woman
title_full Sickle Cell Trait Presenting as Unilateral Proliferative Retinopathy and Macular Thinning in a Pregnant Woman
title_fullStr Sickle Cell Trait Presenting as Unilateral Proliferative Retinopathy and Macular Thinning in a Pregnant Woman
title_full_unstemmed Sickle Cell Trait Presenting as Unilateral Proliferative Retinopathy and Macular Thinning in a Pregnant Woman
title_short Sickle Cell Trait Presenting as Unilateral Proliferative Retinopathy and Macular Thinning in a Pregnant Woman
title_sort sickle cell trait presenting as unilateral proliferative retinopathy and macular thinning in a pregnant woman
url http://dx.doi.org/10.1155/2021/5988889
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