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Title

Ocular findings after a pregnancy complicated by HELLP-syndrome.

Purpose	To present a case-report of a female patient with parapapillary retinal cotton wool spots as an ophthalmological manifestation of the HELLP-syndrome.
Methods	Case-report. A thirty-five-year-old woman presented to the ophthalmology department with complaints of visual field defects affecting her both eyes. She gave a history of delivery after 26 weeks of gestation. The pregnancy was complicated by uncontrolled pre-eclampsia (HELLP syndrome). The patient complained of black spots in the visual field of her both eyes since the delivery. Her best-corrected visual acuity was 1.0 and 0.8. Intra-ocular pressures and anterior segment examination findings were normal bilaterally. Fundus examination showed an optic nerve head surrounded by cotton wool spots. Humphrey Field Analyzer revealed a bilateral enlarged blind spot. Ocular tomography showed swelling of the inner retinal layers surrounding the optic nerve head. Fluo-angiography of both eyes showed several cotton wool spots but no choroïdal infarcts.
Results	Lesions caused by hypertension can be found in different anatomical structures of the eye. Photodocumentation of the case will be shown. In this case hypertension is a known gynaecological complication of pregnancy and the underlying mechansms will be highlighted.
Conclusion	Herein, we reported a case of severe hypertension with clinical presentation of cotton wool spots surrounding the optic nerve head.

Author 1

Last name	GHEKIERE
Initials	S
Department	Jan Yperman Ziekenhuis- UZ Leuven
City	Ieper- Leuven

Author 2

Last name	Blanckaert
Initials	J
Department	Jan Yperman Ziekenhuis- UZ Leuven
City	Ieper-Leuven

Author 3

Last name	Mulliez
Initials	E
Department	Jan Yperman Ziekenhuis
City	Ieper

Author 4

Last name	Verhulst
Initials	L
Department	Jan Yperman Ziekenhuis
City	Ieper