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.