Ahmad M Mansour1, Walid A Medawar. 1. From the Departments of *Ophthalmology and †Internal Medicine, American University of Beirut, and Rafic Hariri University Hospital, Beirut, Lebanon.
Abstract
INTRODUCTION: Disk edema and serous macular detachment in either malignant hypertension or preeclampsia require several weeks to resolve, leaving these young active affected subjects with unilateral or bilateral visual handicap. METHODS: The authors treated two patients with visual loss by sub-Tenon corticosteroid. RESULTS: Visual improvement occurred within 1 week of the periocular corticosteroid from finger counting at 6 m to 20/70 in a woman with preeclampsia and from bilateral 20/50 to 20/25 in the right eye and 20/20 in the left eye in a man with malignant hypertension. CONCLUSION: In addition to blood pressure control, periocular corticosteroid can fasten visual recovery in serous macular detachment and disk edema from preeclampsia or malignant hypertension.
INTRODUCTION: Disk edema and serous macular detachment in either malignant hypertension or preeclampsia require several weeks to resolve, leaving these young active affected subjects with unilateral or bilateral visual handicap. METHODS: The authors treated two patients with visual loss by sub-Tenon corticosteroid. RESULTS: Visual improvement occurred within 1 week of the periocular corticosteroid from finger counting at 6 m to 20/70 in a woman with preeclampsia and from bilateral 20/50 to 20/25 in the right eye and 20/20 in the left eye in a man with malignant hypertension. CONCLUSION: In addition to blood pressure control, periocular corticosteroid can fasten visual recovery in serous macular detachment and disk edema from preeclampsia or malignant hypertension.