Periocular corticosteroid in malignant hypertensive and preeclampsic choroidopathy

Disk edema and serous macular detachment in either malignant hypertension or preeclampsia require several weeks to resolve, leaving these young active affected subjects with unilateral or bilateral visual handicap.

The authors treated two patients with visual loss by sub-Tenon corticosteroid.

Visual improvement occurred within 1 week of the periocular corticosteroid from finger counting at 6 m to 20/70 in a woman with preeclampsia and from bilateral 20/50 to 20/25 in the right eye and 20/20 in the left eye in a man with malignant hypertension.

In addition to blood pressure control, periocular corticosteroid can fasten visual recovery in serous macular detachment and disk edema from preeclampsia or malignant hypertension.