Exudative retinal detachment, a rare but severe acute complication of toxem
ia of pregnancy, is a manifestation of acute ischemic infarction of the cho
roid associated with severe hypertension, Three cases in young primiparous
women with severe toxemia are reported. Exudative detachment of the neuroep
ithelium resulted in abrupt bilateral visual loss. Delivery after induced l
abor was followed by partial or complete restoration of visual function, wi
th only minor anatomic sequelae.