Purposeto report a case of purtscherlike retinopathy associated with travel at high altitude. Purtschers retinopathy is a microvascular occlusive disease initially described as retinal edema, cotton woollike. Purtscherlike retinopathy associated with high altitude. Purtscher s retinopathy presents to the clinician as loss of vision in a patient with a history of a possible precipitating event such as recent major trauma, pancreatitis, childbirth or renal failure. Visual outcome in purtscher retinopathy is variable and there are no standardized guidelines for treatment. Pdf on dec 1, 2014, anil kumar verma and others published. Purtschers retin opathy is a rare condition that is noted in cases related to various types of trauma. Typical manifestations, including cotton wool spots, retinal hemorrhages, and optic disk swelling, are confined to the posterior pole, and often. The ophthalmic findings in this case are consistent with a purtschers retinopathy.
It is due to the activation of complement and agglutination of red blood cells within retinal vessels. Purtscher retinopathy has since been described as a chorioretinopahy associated with indirect trauma. Purtscherlike retinopathy following valsalva maneuver. The author noted multiple abnormalities on fundoscopic examination, including retinal hemorrhage and retinal whitening, associated with diminished visual acuity. Purtscher retinopathy american academy of ophthalmology. Purtschers retinopathy also known as angiopathia retinae traumatica is a rare and severe angiopathy first described by otmar purtscher in the. Purtschers retinopathy is traumainduced embolization of retinal vasculature likely leukocyte, platelet, fibrin, or fat emboli, with infarction of the nerve fiber layer.
Purtscher like retinopathy is a rare and severe angiopathy that begins within some hours to some days after the onset of the systemic disease and is characterized by confluent cottonwool spots in the posterior pole, few intraretinal hemorrhages, and purtscher flecken in the acute phase. Its diagnosis is clinical, in which at least 3 of the following diagnostic criteria should be present. Pdf purtscherlike retinopathy is associated with retinal hemorrhages and ischaemia probably due to the. Purtscher s retinopathy, due to microembolizations in the choroidal and retinal arterioles, should be included among the. It can threaten vision, leading to temporary or permanent blindness. Purtscherlike retinopathy associated with high altitude travel. Read more about symptoms, diagnosis, treatment, complications, causes and prognosis. Purtschers retinopathy traumatic retinal angiopathy. Purtscher retinopathy and purtscherlike retinopathy eyewiki. Purtscher retinopathy purtscher retinopathy is a form of retinopathy.
Purtschers retinopathy is an occlusive microangiopathy associated with severe head trauma. Purtschers retinopathy typically presents with visual loss following compression injury to the head or thorax. Purtscher like retinopathy is a rare and severe angiopathy that begins within some hours to some days after the onset of the. Purtschers retinopathy is a rare condition that is noted in cases related. A 22yearold nun with acute pancreatitis developed sudden bilateral blindness with fundoscopic feat. Purtscher retinopathy was first described in 1910 by otmar purtscher 1 in a man who fell from a tree and suffered cranial trauma. This 21 year old male noted a significant unilateral decrease in vision two days after an allterrain vehicle atv rollover accident in which he suffered head trauma and a fractured rib. Brice critser, cra and susan wright, cra posted march 8, 2018. There are a small number of reported cases of this rare ocular manifestation of ttp in the literature. Purtschers retin opathy is a medical condition characterized by sudden and possibly severe visual impairment, in the setting of prior extraocular trauma or other systemic, nontraumatic pathologies. Purtschers retinopathy in a patient with acute pancreatitis. Purtscherlike retinopathy associated with synthetic cannabinoid.
Its development is independent of the severity of pancreatitis, and it has a wide range of manifestations and requires a close followup. To report a rare case of bilateral purtscherlike retinopathy in a chinese female patient. The acute retinal signs of cotton wool spots, retinal haemorrhage and purtscher flecken cleared within 1 month in 26% of eyes and within 6. Acute fundus abnormalities in purtschers retinopathy include purtscher.
The characteristic finding in the fundus is the presence of multiple purtscher flecken. A 22yearold man was ejected from his vehicle sustaining traumatic brain injury, facial fractures, pulmonary contusions, liver laceration, and adrenal. Purtscher like retinopathy associated with acute pancreatitis was first described in 1975 by inkeles and walsh. This article is from journal of medical case reports, volume 5. Purtscher retinopathy was first described in 1910 by otmar. Purtscherlike retinopathy associated with dermatomyositis. Pmc free article behrensbaumann w, scheurer g, schroer h. Pdf purtscherlike retinopathy is associated with retinal hemorrhages and ischaemia probably due to the complementmediated leukoembolization. Purtscher and purtscher like retinopathies are rare but important to recognize. Get a printable copy pdf file of the complete article 973k.
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