Reversible Blindness in Severe Preeclampsia and Eclampsia
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Date
2004-01
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Abstract
Visual disturbances are common with severe preeclampsia, however, blindness either alone or
accompanying convulsions is uncommon. Most women with varying degree of amaurosis are found
to have radiographic evidence of extensive occipital lobe hypodensities.In this case report, we present
the clinical course of two women in whom preeclampsia was further complicated by blindness.
These were managed by standard pre eclampsia- eclampsia regimen used at our hospital which
includes Diazepam /Phenytoin therapy to control seizures, nifedipine to lower elevated blood pressure,
intravenous fluid restriction and termination of pregnancy. Abnormal findings in these women were
seen by computed tomography and magnetic resonance imaging technique. CT demonstrated low
density areas localized predominantly in occipital area. Blindness persisted from 24 hrs to 72 hrs, it
subsequently resolved completely in both.
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Keywords
Eclampsia, Preeclampsia, Blindness, Computed tomography, Magnetic resonance imaging
Citation
Jyotsana, Sharma Ashok k, Bhatt Sunil. Reversible Blindness in Severe Preeclampsia and Eclampsia. JK Science Journal of Medical Education and Research. 2004 Jan-Mar;6(1): 43-45