Document Type : Case Report
Authors
1
Resident, Department of Obstetrics and Gynecology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
2
Assistant Professor, Department of Obstetrics and Gynecology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
3
Associate Professor, Department of Obstetrics and Gynecology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
4
Professor, Department of Obstetrics and Gynecology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
5
Assistant Professor, Department of Ophthalmology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
10.22038/jmrh.2024.73528.2145
Abstract
Background and 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 presentation: 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.
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