Retinopathy occurring during toxemia of pregnancy generally shows the features of hypertensive retinopathy. The authors describe the case of a patient with bilateral peripheral neovascularizations following toxemia of pregnancy. The likely pathogenesis is ascribed to the development of ischemic areas, which can be determined by microthrombus formation. Presently, low-grade disseminated intravascular coagulation is considered very important in the pathogenesis of toxemia of pregnancy. After panretinal fluorangiography, a selective photocoagulation of ischemic areas was performed. The regression of neovascularizations was observed after one month. No similar case report could be found in the literature.

Toxemia of pregnancy can cause bilateral peripheral neovascularizations in the retina, which can be treated with selective photocoagulation and regression after one month.

Proliferative retinopathy and toxemia of pregnancy.

Key Takeaway: Toxemia of pregnancy can cause bilateral peripheral neovascularizations in the retina, which can be treated with selective photocoagulation and regression after one month.