Decreased Visual Acuity as the First Alarm Sign of Severe Preeclampsia: A Case Report

Background & aim: Retinal detachment is an unusual complication of hypertensive disorder during pregnancy and its prevalence is 1% to 2% in women with severe preeclampsia and 10% in those with eclampsia. Here, we introduce a case of preeclampsia with first presentation of retinal detachment.Case report: A 19-year-old primigravid woman at 32th weeks complained of suddenly decreased vision in both eyes. Ophthalmic examination revealed visual acuity of 2/10 in the right eye and 3/10in the left one, suggesting central serousretinal detachment due to hypertensive retinopathy. Diagnosis of severe preeclampsia was confirmed considering to elevated blood pressure, proteinuria and retinal detachment. After 5 days, her vision started to improve and fundoscopy showed resolving retinal detachment. At 40 days post-partum, her vision improved to 10/10 in both eyes.Conclusion: This case report highlights the importance of complaint of blurred vision in pregnancy that could be the first alarm sign of severe preeclampsia.

Decreased Visual Acuity as the First Alarm Sign of Severe Preeclampsia: A Case Report Keywords:

Hypertensive retinopathy , pregnancy , Preeclampsi , Retinal detachment