Two cases of visual impairment asscociated with preeclampsia

A 20 year old primigravida was referred to our hospital at 35 weeks of gestation with severe pregnancy included hypertension with chief complaints of sudden loss of vision. On examination she had pedal edema and a BP of 170/110 mm hg. She had absent far and near vision. Her pupils were normal in size and reacting to light. Fundus examination revealed findings within normal limits and there was no evidence of any retinal detachment. Sine she was already in labor and 3 cm dilated, an artificial rupture of membranes was performed and labor was augmented as retinal detachment was ruled out by fundus examination. The BP was controlled with use of antihypertensives and the patient was also started on prophylactic magnesium sulphate regime. The patient delivered normally uneventfully after 6 hours of labor