PURPOSE/METHOD: We examined a pregnant patient who had symptomatic whi
te-centered retinal hemorrhages. Severe preeclampsia rapidly developed
despite the patient not having hypertension, proteinuria, or edema at
initial examination. RESULTS/CONCLUSIONS: Retinal hemorrhages gradual
ly resolved without treatment and visual acuity returned to 20/20 six
months after emergency delivery of a healthy infant. Retinal or choroi
dal vascular abnormalities in pregnant patients may be caused by early
preeclampsia and immediate obstetric referral is indicated.