Decreased Visual Acuity as the First Alarm Sign of Severe Preeclampsia: A Case Report
نویسندگان
1 Assistant Professor, Department of Ophthalmology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
2 Gynecologist, Department of Obstetrics and Gynecology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
3 a) Assistant Professor, Department of Obstetrics and Gynecology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran b) Supporting the Family and the Youth of Population Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
4 a) Associate Professor, Department of Obstetrics and Gynecology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran b) Supporting the Family and the Youth of Population Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
doi
10.22038/jmrh.2024.73528.2145چکیده
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.
