Bilateral choroidal ischaemia and serous retinal detachment in pre-eclampsia

Serious retinal detachment secondary to choroidal ischaemia is an unusual b ut well-documented cause of visual loss in preeclampsia. Very few cases hav e been reported in the literature. We report a case of a 26-year-old multig ravida with pre-eclampsia who developed bilateral choroidal ischaemia with serious retinal detachments. There was spontaneous resolution of the serous detachment and the choroidal changes in the post-parium period, with resid ual pigment epithelial changes. Serous retinal detachments in pre-eclampsia are secondary to choroidal ischaemia and disturbances in the choroidal vas cular supply.