decreased visual acuity as the first alarm sign of severe preeclampsia: a case report

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.