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Choroidal neovascular membrane presenting as a complication of pre-eclampsia in a patient with the antiphospholipid syndrome
  1. ANDRÉ L L CURI,
  2. ANDREW JACKS,
  3. CARLOS PAVESIO
  1. Moorfields Eye Hospital
  1. Carlos Pavesio, Moorfields Eye Hospital, City Road, London EC1V 2PD

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Editor,—Pre-eclampsia is characterised by hypertension, proteinuria, and generalised body oedema, which occurs during the third trimester of pregnancy. Ophthalmological changes related to pre-eclampsia include involvement of retinal or choroidal vasculature, with the presence of cotton wool spots, haemorrhages and serous retinal detachment.1 The antiphospholipid syndrome is characterised by the triad of arterial or venous thrombosis, recurrent abortions, and thrombocytopenia.

Choroidal neovascular membrane (CNV) is a complication which occurs in many ocular diseases including age related macular degeneration, myopic degeneration, and presumed ocular histoplasmosis syndrome (POHS). It occurs as a degenerative process (type I) or secondary to damage in the choriocapillaris-Bruch's membrane-retinal pigmented epithelium (RPE) complex (type II).

We report a case of choroidal neovascular membrane as a complication of pre-eclampsia and the …

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