Reversible Blindness From Preeclampsia: A Case Report
Vitreo-Retina
Abstract
Introduction: Severe preeclampsia and eclampsia remain major causes of maternal and perinatal morbidity and mortality in developing countries.1 Visual symptoms include photopsia, visual field defects, sudden inability to focus, blurred vision and in severe cases complete blindness may occur.2
Case Report: An 18 year old pregnant housewife was referred to us from GOPD complaining of sudden loss of vision in both eyes, severe frontal headache and leg swelling of 2 weeks’ duration. At presentation, she had blood pressure of 190/ 120mnhg and unaided visual acuity (VA) of counting fingers in both eyes. Anterior segment was quiet except for dilated sluggishly reactive pupils. Funduscopy revealed bilateral papiloedema, retinal haemorrhages, cotton wool spots with macular edema as seen in Figure 1 below.
References
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Denissa Greta Popa, Carmen Mocanu, Andreea Nicolcesau, Dotna Barascu, Lillana Novoc2
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Tung CF, Peng YC, Chen GH, Chow WK, Yang DY, Hu WH. Haemolysis, elevated enzymes and low platelet count (HELLP) syndrome with acute cortical blindness. Chin Med. J (Taipei) 2001; 64:482-485.
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