This afternoon, I met a female patient in preeclampsia-eclampsia. She had a baby of 31weeks +3 days. I checked the patient, found that both of her eyes were serous detachment of the retina and conjunctiva edema. The right eye was upper detachment, the left eye was lower detachment. No obvious hemorrhages, retinal infarcts(cotton-wool spots) and choroidalinfarcts (Elschnig’s spots) were seen. I told her husband to sent her immediately to obstetrical department for pregnancy termination. If not, she or her baby might be dead.

This patient recalled me another parturient in preeclampsia-eclampsia months ago. I suggested the doctor in obstetrical department to terminate the pregnancy of her and they did. But finally the woman died because the number of her blood platelet was extremely low. What a miserable! The baby had no mum when born.

The base pathologic process is hypertensive retinopathy. The appearance of the fundus in hypertensive retinopathy is determined by the degree of elevation of the blood pressure and the state of the retinal arterioles. Focal attenuation of a major retinal arteriole is one of the earliest signs, diffuse arteriolar attenuation, broadening of the arteriolar light reflex, and arteriovenous crossing changes also occur. Severe disk edema is a prominent feature.

A severe retinopathy may be seen in advanced renal disease and in patients with pheochromocytoma. All such patients should be examed carefully to determine the nature of the hypertension.