GYNECOLOGY AND OBSTETRICS RESEARCH Open Journal http://dx.doi.org/10.17140/GOROJ-1-102 ISSN 2377-1542 Gynecol Obstet Res Open J Bilateral Bullous Retinal Detachment in a Case of Preeclampsia Catarina Policiano * , Inês Pereira, Cláudia Araújo, Alexandre Valentim-Lourenço and Luís M. Graça Department of Obstetrics, Gynecology and Reproductive Medicine, Centro Hospitalar Lisboa Norte-Hospital de Santa Maria, Lisbon, Portugal * Corresponding author Catarina Policiano Department of Obstetrics, Gynecol- ogy and Reproductive Medicine, Centro Hospitalar Lisboa Norte - Hos- pital de Santa Maria, Av. Prof. Egas Moniz, 1649-035 Lisboa, Portugal Tel. +351 217805578 Fax: +351 217805621 E-mail: catarinapoliciano@gmail.com Article History Received: September 18 th , 2014 Accepted: November 7 th , 2014 Published: November 14 th , 2014 Citation Policiano C, Pereira I, Araújo C, Valentim-Lourenço A, Graça LM. Bi- lateral Bullous Retinal Detachment in a Case of Preeclampsia. Gynecol Obstet Res Open J . 2014; 1(1): 6-7. doi: 10.17140/GOROJ-1-102 Copyright ©2014 Policiano C. This is an open access article distributed under the Creative Commons Attribution 4.0 International License (CC BY 4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Volume 1 : Issue 1 Article Ref. #: 1000GOROJ1102 Case Report CASE REPORT A 30-year-old caucasian primigravida was diagnosed with arterial hypertension at 34 weeks of gestation. At 36 th week, labor induction was performed for severe preeclamp- sia. During labor, blood pressure was controlled with labetalol and convulsion prophylaxis was performed with magnesium sulfate. She had a vaginal delivery without complications and forty-eight hours later complained of intense fronto-occipital headache, blurred vision and metamorphopsia with a sudden decrease in visual acuity. Blood pressure during the postpartum period was 170/110 mm Hg. Blood samples showed no abnormalities. The previous ocular history was unremarkable. The patient was transferred from a secondary to a tertiary hospital in order to have an adequate ophthalmologic evaluation that revealed visual acuity of 2/10 and 4/10 in the right and left eye, respectively. Fundoscopy, retinography (Figures 1A and 1B) and Optical Coherence Tomography (OCT) showed bilateral bullous retinal detachment of the pos- terior pole with no hemorrhage or retinal exudates and also contributed to exclude the presence of a macular hole in both eyes. There was no retinal tear on peripheral retina examination. Neu- rological examination was normal and cranial computed tomography scan showed no lesions. Blood pressure was controlled with 48 hours of labetalol. Magnesium sulfate was performed in accordance to the Department´s protocol for the management of severe preeclampsia. Oph- talmologic re-evaluation on days 2 and 4 improved signifcantly, without specifc therapy. She was discharged asymptomatic on day 7 with controlled blood pressure. Follow-up examination 2 weeks later showed complete resolution of the retinal detachment (Figures 1C and 1D). Vi- sual acuity remained 8/10 for both eyes. Figure 1: Retinography: images A) B) at admission, there is a bullous retinal detachment of the posterior pole involving the macula (arrows) and extending superiorly beyond the limits of the superior temporal vascular arcade. The area of retinal detachment is smaller on the left (OS) than on the right eye (OD). Images C) D) at 2 weeks follow up, normal retinography showing complete resolution of the bilateral bullous retinal detachment Page 6