COECSA, Journal, Ophthalmology
Malignant hypertensive retinopathy in a postnatal patient with pregnancy induced hypertension: Case report
Download PDF Article


Pregnancy Induced Hypertension
Hypertensive retinopathy
Malignant hypertensive retinopathy

How to Cite

Zungu TL, Mdala S, Gandiwa M, Mhango P, Kayange PC. (2023). Malignant hypertensive retinopathy in a postnatal patient with pregnancy induced hypertension: Case report. The Journal of Ophthalmology of Eastern, Central and Southern Africa, 15(01). Retrieved from


Pregnancy Induced Hypertension (PIH) is one of the leading causes of maternal and perinatal mortality, especially in developing countries. Hypertensive retinopathy is a common condition in patients with PIH. Patients mostly present with mild hypertensive retinopathy changes such as arteriolar narrowing and arteriovenous nicking. Malignant hypertensive retinopathy is a rare finding in PIH patients. We present a case of a 32 year old postnatal woman with PIH who developed malignant hypertensive retinopathy in both eyes during post-partum period.

Download PDF Article


Bakhda RN. Ocular manifestations of pregnancy induced hypertension. Del J Ophthalmol. 2015; 26:88–92.

Sagili R, Sivalinga N, Rani S. Fundus changes in pregnancy induced hypertension. Int J Ophthalmol. 2012; 5(6):694–697.

Rasdi AR, Nik-ahmad-zuky NL, Bakiah S, Shatriah I, et al. Hypertensive retinopathy and visual outcome in hypertensive disorders in pregnancy. Med J Malaysia. 2011; 66(1):42–47.

Journal GI. Ophthalmic complications and ocular

changes in pregnancy- a review. Obstet Gynecol

Int J. 2016; 4(1):1–7.

Henderson, Bruce B. Grade III or Grade IV

hypertensive retinopathy with severely elevated

blood pressure. West J Emerg Med. 2012;


Retina and vitreous. Amer Acad Opthalmol.

; 102-103.

Grosso A, Veglio F, Porta M, Grignolo FM.

Hypertensive retinopathy revisited: some

answers, more questions. Br J Ophthalmol.


Bowling B. Kanski’s Clinical Ophthalmology. 8th

ed. Elsevier; 2016. 869, 871 p.

Mondal RN, Matin MA, Rani M, Hossain ZM,

Shaha AC, et al. Prevalence and risk factors of

hypertensive retinopathy in hypertensive patients.

J Hypertens Open Access. 2017; 6:241.

Tso MOM, Jampol LM. Pathophysiology of

hypertensive retinopathy. Ophthalmol. 1982;


Wong TY, Mitchell P. Hypertensive retinopathy.

N Engl J Med. 2004; 351(22): 2310-2317.

Samra KA. The eye and visual system in the

preeclampsia eclampsia syndrome. What to expect.

J Ophthalmol. 2013; 27(1):51–53.

Navinchandra R. Clinical assessment of

retinopathy post management of pregnancy

induced hypertension. Int J Med Public Health.

; 5(3):205–207.

Wong TY, Mcintosh R. Hypertensive retinopathy

signs as risk indicators of cardiovascular morbidity

and mortality. Br Med Bull. 2005;(May):57–70.


Download data is not yet available.