Bilateral, serous, non-rhegmatogenous retinal detachment is a rare complication of
toxaemia of pregnancy. In the vast majority of the cases the detachment occurs
concomitantly with hypertensive retinopathy. 1 We report a primigravida with preeclampsia
and HELLP (haemolysis, elevated liver enzymes, low platelets) syndrome who in the
absence of any hypertensive retinopathy, developed bilateral, bullous retinal detachments in
the puerperium.

HELLP syndrome is a pregnancy complication, putting at risk the life of mother and child,
characterized by high blood pressure, elevated liver enzymes and low platelets. Serous
retinal detachment is a rare complication of pregnancy and may be associated with HELLP
syndrome. One of the most common symptoms is a decrease in visual acuity. A rare case of
bilateral exudative retinal detachment associated with HELLP syndrome is described in a 38-
year-old woman a few hours after delivery. Optical coherence tomography (OCT) showed an …