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 ۱% to ۲% in women with severe preeclampsia and ۱۰% in those with eclampsia. Here, we introduce a case of preeclampsia with first presentation of retinal detachment.Case report: A ۱۹-year-old primigravid woman at ۳۲th weeks complained of suddenly decreased vision in both eyes. Ophthalmic examination revealed visual acuity of ۲/۱۰ in the right eye and ۳/۱۰in 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 ۵ days, her vision started to improve and fundoscopy showed resolving retinal detachment. At ۴۰ days post-partum, her vision improved to ۱۰/۱۰ 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.

کلیدواژه ها:

Hypertensive retinopathy ، pregnancy ، Preeclampsi ، Retinal detachment