Pre-eclampsia associated bilateral serous retinal detachment

Measured blood pressure (BP) at the time of ocular evaluation was 130/80 mm Hg. Whether presence of SRD in pre-eclamptic patient has additional risk on mother or fetus is debated.4 The mainstay of management of pre-eclampsia is early detection, control of BP and delivery before irreversible complication sets in.3 Ophthalmic management of pre-eclampsia associated SRD is conservative and spontaneous resolution generally occurs in few weeks with good visual recovery to predetachment level.7 Poor outcome may be associated with concurrent presence of retinopathy, macular involvement of SRD and extensive RPE necrosis.5 7 The obstetricians should be cognizant to investigate vision abnormalities in the setting of pre-eclampsia and refer to the ophthalmologists for further detailed evaluation. Obstet Gynecol 2013; 122: 1122–31. doi:10.1097/01.AOG.0000437382.03963.88 http://www.ncbi.nlm.nih.gov/pubmed/24150027 2 Pritchard JA, Cunningham FG, Pritchard SA. The Parkland Memorial Hospital protocol for treatment of eclampsia: evaluation of 245 cases.