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Editor,—Pre-eclampsia is characterised by hypertension, proteinuria and generalised oedema developed after 20 weeks' gestation. We report serial changes in multifocal electroretinography (MERG), fluorescein angiography (FA), and indocyanine green angiography (ICGA) in a patient with pre-eclampsia who developed choroidal ischaemia and serous retinal detachment.
CASE REPORT
A 28 year old Chinese woman, gravida II, para I, was hospitalised at 31 weeks' gestation with blood pressure of 178/98 mm Hg, 4+ proteinuria and pretibial oedema. At 34 weeks' gestation, emergency caesarean section was performed because of uncontrolled pre-eclampsia. Two days post partum, she complained of blurring of vision in the right eye. On examination, her visual acuity was right eye: 20/30, left eye: 20/15. There was no afferent pupillary defect. Anterior segment and intraocular pressure was normal. Fundal examination revealed bilateral greyish-yellow lesions at the level of retinal pigment epithelium (RPE), distributed mainly in peripapillary area and posterior pole. There was …