Bilateral Serous Retinal Detachment in Severe Preeclampsia: A Report of Two Cases

Serous retinal detachment (SRD) is an uncommon but vision-threatening manifestation of hypertensive disorders of pregnancy, particularly in the context of severe preeclampsia and hemolysis, elevated liver enzymes, and low platelet count (HELLP) syndrome. We report two cases of young primigravid women who developed bilateral SRD associated with HELLP syndrome. Both patients presented with acute bilateral vision loss and were diagnosed using optical coherence tomography. Management included antihypertensive therapy, magnesium sulfate, and delivery without any ophthalmological intervention. Both patients experienced complete visual recovery within two weeks. This report underscores the importance of prompt recognition, appropriate obstetric management, and the typically favorable visual prognosis of SRD in preeclampsia.