Spontaneous suprachoroidal haemorrhage with exudative retinal detachment in pregnancy-induced hypertension

Description

A 35-year-old woman at 26 weeks' gestation presented with vision loss in the right eye (RE) and abdominal pain for 10 days. There was no fever. RE had conjunctival congestion and chemosis with a visual acuity of finger counting close to face. The RE showed an exudative retinal detachment, disc oedema and choroidal detachment (figure 1). The left eye visual acuity was 6/12 and on examination there was disc oedema, cotton wool spots, subfoveal fluid and Elschnig's spots (figure 2).1 Ultrasonogram showed echoes beneath the choroidal detachment suggestive of suprachoroidal haemorrhage (figure 3). Intraocular pressure and anterior chamber depth were normal in either eye. The blood pressure (BP) was 200/120 mm Hg. The laboratory investigations included a haemoglobin of 6.7 g/dL (12–15.8 g/dL), platelet count 65x10⁹/L (150x10⁹–300x10⁹/L), total leucocyte count 9.5x10⁹/L (4x10⁹–11x10⁹/L), total protein 4.8 g/dL (6.7–8.6 g/dL), serum glutamic-oxaloacetic transaminase 29 U/L (12–38 U/L), serum glutamic-pyruvic transaminase...

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