Wernicke's encephalopathy (WE) is a potentially fatal but readily reversible medical emergency caused by thiamine deficiency. WE is most commonly associated with heavy alcohol consumption, but is also seen in other clinical settings such as Hyperemesis Gravidarum (HG), starvation, and prolonged intravenous feeding. After Sheehan's first description of WE following HG there are few case reports of similar etiology from various parts of the world [1,2,3,4]. WE is popularly known and taught as the clinical triad of ophthalmoplegia, confusion and ataxia.We discuss a pregnant woman with HG presenting with visual deterioration and her optic fundi showing optic disc edema on right side and retinal hemorrhage on left side. Its a rare initial presentation of WE.