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.
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