Central Retinal Vein Occlusion Secondary to Pre-eclampsia


Central Retinal Vein Occlusion Secondary to Pre-eclampsia by Yeo Tun Hang, Sanjay Srinivasan, Lekha Gopal, Singapore



To report a case of central retinal vein occlusion secondary to pre-eclampsia.


Case report.


A 38-year-old primipara presented with a 2 week history of worsening right eye vision, a week following an emergency caesarean section for severe preeclampsia. Her visual acuity was counting fingers in the right eye and 6/6 in the left eye. Her blood pressure was stable at 124/72. Examination revealed a right grade 1 relative afferent pupillary defect with fundoscopic findings of widespread cotton wool spots, tortuous vessels, retinal hemorrhages and optic disc hyperemia. These findings were consistent with a central retinal vein occlusion. Spectral domain optical coherence tomography demonstrated severe macula edema. The patient subsequently underwent 3 monthly injections of intravitral ranibizumab. The macula edema resolved with treatment and the visual acuity improved to 6/15.


This case highlights pre-eclampsia as a risk factor for central retinal vein occlusion. Patients with similar presentations should undergo early fundus examination. Possible harmful effects of investigations and treatment during pregnancy and breastfeeding should be taken into consideration.



Yeo Tun Hang
Email : tunhang.yeo@gmail.com
Cell Phone: +6597633575
Work Phone: +6597633575