Bilateral exudative retinal detachment in eclampsia without hypertensive retinopathy.

A patient with bilateral bullous retinal detachment caused by eclampsia of pregnancy had no signs of hypertensive retinopathy. Fluorescein angiograms during the acute stage of the disease showed normal retinal vasculature and widespread choroidopathy, probably of vascular origin, causing massive exudation to the subretinal space. Prompt recovery with good visual acuity occurred after the pregnancy ended. The only residual findings were diffuse mottling of the fundus secondary to pigmentary migration in the choroid and in the pigment epithelium of the retina disclosed by fluorescein angiography. Termination of pregnancy may be indicated in those cases where the systemic signs of toxemia are controlled medically but there is no flattening of the detached retina.