Inclusion Criteria:  Systolic blood pressure of 160mm Hg or higher, or diastolic blood pressure of 110mm Hg or higher on 2 occasions at least 6 hours apart on bed rest. Proteinuria ≥5g in a 24 hour urine specimen or ≥3+ on 2 random urine samples collected at least 4 hours apart. patient acceptance Accepted mental state of the patients  Exclusion Criteria:  patient refusal to participate in the study chronic kidney disease chronic pulmonary disease chronic cardiac disease chronic hypertension previous ocular operation and diseases