Reversible blindness in fulminating preeclampsia

Severe preeclampsia and eclampsia are major causes of maternal and perinatal morbidity and mortality in many parts of the world. One of the uncommon effects of severe preeclampsia on the eye is sudden loss of vision. This blindness can be due to involvement of the occipital cortex or the retina. Although very alarming, this type of blindness is usually reversible following appropriate management of such patients. Here we present the case of a woman in whom fulminating preeclampsia was complicated by blindness. Fundoscopic findings were bilateral papillo edema and macular edema. She responded well to therapy, which included antihypertensives, seizure prophylaxis and operative delivery. Vision was restored by the third day.