Purtscher's retinopathy is a retinal lesion associated with different diseases such as cardiac aneurism, thoracic compression, bone fractures, post-trauma, pancreatitis and eclampsia. It consists in the appearance of white patches and retinal hemorrhage encircling an apparently normal optic disk. There is some controversy about its pathogenesis, but a probable cause for the development of this affection might be leukocyte emboli activated by complement. We present the case of a patient who developed a Purtscher's like retinopathy while he was being treated for pancreatitis.
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Int J Ophthalmol
January 2025
Department of Ophthalmology, Peking University People's Hospital; Eye Disease and Optometry Institute, Beijing Key Laboratory of Diagnosis and Therapy of Retinal and Choroid Diseases, College of Optometry, Peking University Health Science Center, Beijing 100044, China.
Cureus
November 2024
Ophthalmology, Louisiana Eye and Laser, Alexandria, USA.
Purtscher retinopathy is a type of ischemic retinopathy that can lead to a devastating visual prognosis. With no significantly proven treatment, preventing the condition by managing the causes and risk factors is the best way to preserve vision. This case report will focus on a patient with Purtscher-like retinopathy associated with acute pancreatitis, including exam findings, risk factors, and a discussion of treatment options.
View Article and Find Full Text PDFHSS J
November 2024
Department of Rheumatology, Ankara Etlik City Hospital, Ankara, Turkey.
Front Med (Lausanne)
October 2024
Eye Center, Renmin Hospital of Wuhan University, Wuhan, China.
Background: Purtscher-like retinopathy (PLR) is a rare retinal microangiopathy with unclear pathogenesis. Paracentral acute middle maculopathy (PAMM) is an optical coherence tomography (OCT) sign proposed in recent years, which is characterized by infarction of the middle layer of the retina. This article reported a rare case of PRL and PAMM probably related to improper antihypertensive drug use in a middle-aged male.
View Article and Find Full Text PDFBMJ Case Rep
October 2024
Ophthalmology, Wellington Regional Hospital, Wellington South, New Zealand
An 80-year-old fit and active gentleman presented with left hip pain and a new central scotoma in his right eye after falling from an electric bicycle. He was able to mobilise independently and presented to ophthalmic services where cotton wool spots were found in both eyes and a presumptive diagnosis of Purtscher's retinopathy (PuR) was made. The patient was referred to the emergency department for assessment of a potential fracture.
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