Abstract :

Preeclampsia is a leading cause of maternal and fetal mortality worldwide. Retinal detachment is an unusual cause of visual loss in pregnancy. The retinal detachment in preeclampsia is usually bilateral and serous. The pathogenesis of retinal detachment in preeclampsia is related to choroidal ischemia secondary to an intense arteriolar vasospasm. The majority of patients have complete recovery of vision with clinical management and surgery is unnecessary. This was a case report of a 28 years old multigravida with preeclampsia who developed bilateral retinal detachment at term. She had progressive blurred vision, until she could see only shadows. With blood pressure control at postpartum, retinal detachment resolved spontaneously and vision was regained.

Keywords: Preeclampsia, Retinal detachment, Choroidal ischemia.