Bilateral central retinal artery occlusion in a case of eclampsia

A 19-year-old primigravida admitted in eclampsia ward noticed sudden loss vision in both the eyes. On the same day, she underwent emergency cesarean section due to her deteriorating systemic condition. After her general condition improved, loss of vision in both the eyes continued. On ocular examination, she had bilateral central retinal artery occlusion (CRAO). This is the second case of bilateral CRAO in eclampsia reported in the English literature till date. In our case, the hematological changes occurring in pregnancy and pregnancy-induced hypertension could have caused CRAO in both the eyes.