The Ophthalmology Unit,  Universiti Malaysia Sarawak (UNIMAS), Kuching, Sarawak.
The Ophthalmology Department, Sarawak General Hospital, Kuching, Sarawak, East Malaysia.

aCase 5

by Dr. Chua

This 34-year-old multigravida (gravida 2 abortion 1) woman was referred by the obstetrician because of seeing patches of darkness in her vision and trouble with seeing at night for the past few days. She underwent termination of pregnancy one week ago at 22-weeks because of eclampsia. Prior to the termination, her urine showed 3+ albumin with blood pressure of 160/110 despite medical treatment. She denied any previous history of ocular problems.

Right fundus


Left fundus

a. What is the most likely diagnosis?

b. Can you explain the appearance seen on the fundi?

c. What other conditions may be responsible for poor vision in eclampsia?

d. What is the visual prognosis in this patient?