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Reversible Blindness in Severe Preeclampsia and Eclampsia.

Keywords: Eclampsia , Preeclampsia , Blindness , Computed tomography , Magnetic resonance imaging.

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Visual disturbances are common with severe preeclampsia, however, blindness either alone oraccompanying convulsions is uncommon. Most women with varying degree of amaurosis are foundto have radiographic evidence of extensive occipital lobe hypodensities.In this case report, we presentthe 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 whichincludes Diazepam /Phenytoin therapy to control seizures, nifedipine to lower elevated blood pressure,intravenous fluid restriction and termination of pregnancy. Abnormal findings in these women wereseen by computed tomography and magnetic resonance imaging technique. CT demonstrated lowdensity areas localized predominantly in occipital area. Blindness persisted from 24 hrs to 72 hrs, itsubsequently resolved completely in both.


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