LAUSR

A 20‐year old healthy primigravida complained of loss of vision 2 days post cesarean delivery due to severe preeclampsia. On presentation, her visual acuity was CF 1 m in the right eye and CF close to face left eye. Fundus examination in both the eyes showed retinal whitening with few retinal hemorrhages [Fig. 1a and b]. In the early phase of fluorescein angiography, there was hypofluorescence at the macula, which persisted into the late phase with blockage in macular retinal arterioles and capillaries suggestive of gross macular ischemia [Fig. 1c and d]. Optical coherence tomography in both the eyes showed hyperreflective nerve fiber layer with no associated macular edema [Fig. 1e and f]. Systemic workup revealed low hemoglobin (7.5 g/dL), decreased platelet counts (30,000/mm3), elevated erythrocyte sedimentation rate (65 mm/h), increased activated partial thromboplastin time (56 s), decreased prothrombin time (7 s), and elevated