Bijnya Birajita Panda1, Anusha Venkataraman2, Jyoti Ranjan Mallick3, Susanta Pujahari4
HISTORY: A 30 year old lady in her 32 weeks gestation period was referred to our ophthalmology clinic with chief complaints of diminution of vision in both eyes for 4 months duration. Her medical history was suggestive of uncontrolled hypertension. On Ophthalmic evaluation she had best corrected visual acuity of 20/200 in both eyes with normal color vision. Her pupils were bilaterally equal in size and normally reacting to light. The intraocular pressure was within normal range and anterior segment evaluation was within normal limits. Dilated fundus evaluation revealed only arterio-venous crossing changes, mottled retina and resolving hard exudates in both eyes [Fig 1a, & 1b]. The fundus picture could not explain the severity of vision loss in the patient which prompted us for further workup.