We report one case of @entity101 as a presenting sign of @entity5617 in utero. Ophthalmic examination (including intravenous @entity941 angiography and optical coherence tomography) and obstetric and systemic evaluation were performed, providing a multidisciplinary approach. A 33-year-old overweight @entity1 (body mass index 47 kg/m(2)) with no systemic or ocular known disease was admitted to our emergency department with a one-week history of bilateral @entity1018 . On examination, best corrected visual acuity was 1/10 in the right eye @entity676 in the left eye. @entity1347 was unremarkable. Ophthalmoscopic fundus findings included bilateral optic disc @entity4 , diffuse @entity2708 wool spots, intraretinal exudates, @entity5861 , and multiple serous @entity1713 involving both maculae. Physical examination revealed a blood pressure of 220/110 mmHg. Further systemic workup revealed a previously unknown 35-week pregnancy with a dead fetus. An emergency cesarean section was performed. @entity1468 is a life-threatening disorder for both mother and fetus. This case highlights the need to rule out @entity1468 in all @entity1 of childbearing age presenting with ocular signs of @entity101 , even without external signs of pregnancy.

XXXX as a presenting sign of an occult dead fetus.

@entity1 :: ('9606', 'Species') :: ['women', 'woman'] @entity1018 :: ('MESH:D054062', 'Disease') :: ['vision loss and no systemic complaints'] @entity101 :: ('MESH:D006973', 'Disease') :: ['malignant hypertensive retinopathy', 'malignant hypertension'] @entity2708 :: ('3635', 'Species') :: ['cotton'] @entity1713 :: ('MESH:D012163', 'Disease') :: ['retinal detachments'] @entity1347 :: ('MESH:C537775', 'Disease') :: ['Anterior segment examination of both eyes'] @entity4 :: ('MESH:D004487', 'Disease') :: ['edema'] @entity676 :: ('11169', 'Gene') :: ['and 1/10'] @entity1468 :: ('MESH:D011225', 'Disease') :: ['Pre-eclampsia', 'pre-eclampsia'] @entity5861 :: ('MESH:D012166', 'Disease') :: ['retinal hemorrhages'] @entity941 :: ('MESH:D019793', 'Chemical') :: ['fluorescein'] @entity5617 :: ('MESH:D005313', 'Disease') :: ['fetal death']
@entity101 :: (MESH:D006973,Disease) :: ['Malignant hypertensive retinopathy']
