EC Ophthalmology

A 34-year-old female presented with a diminution of vision associated with headache and vomiting. Ocular examination revealed grade IV hypertensive retinopathy. Her blood pressure was 220/120 mmHg. She was sent to a cardiologist for ECG and Echocardiography which were normal. On ultrasound of the abdomen, an occult pregnancy of about 32 weeks was diagnosed which was not diagnosed before. The patient delivered a healthy baby at about 34 weeks of gestation. On a follow-up of three months, all fundus changes regressed. Hence, we report a case that was diagnosed with occult pregnancy after the diagnosis of malignant hypertensive retinopathy.

 Keywords: Pregnancy-Induced Hypertension; Arteriolar Spasm; Papilledema; Cotton Wool Spots

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