Serous Retinal Detachment in HELLP Syndrome: A Case Series

Serous retinal detachment (SRD) is a rare but potentially vision-threatening ocular complication of hypertensive disorders of pregnancy, particularly severe preeclampsia and HELLP syndrome. It typically presents bilaterally and is believed to result from choroidal ischemia and endothelial dysfunction secondary to systemic vasospasm. Despite its dramatic clinical presentation, SRD is generally reversible with timely and appropriate management. We present a case series of four patients with SRD associated with HELLP syndrome to illustrate the clinical spectrum, imaging findings, management, and visual outcomes of this rare complication. All patients were managed conservatively after delivery with strict blood pressure control, resulting in complete anatomical resolution and full visual recovery in every case. These cases underscore the favorable prognosis of HELLP-related SRD when promptly recognized and appropriately managed, and highlight the importance of multidisciplinary collaboration.