Purtscher-Like Retinopathy
Joint Authors
Meireles, Angelina
Massa, Rita
Vale, Carolina
Macedo, Mafalda
Furtado, Maria João
Gomes, Miguel
Lume, Miguel
Source
Case Reports in Ophthalmological Medicine
Issue
Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-01-06
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
Purtscher-like retinopathy is associated with retinal hemorrhages and ischaemia probably due to the complement-mediated leukoembolization.
It is a rare and severe angiopathy found in conditions such as acute pancreatitis.
Case.
We present a case of a 53-year-old man who presented with a Purtscher-like retinopathy associated with the development of acute pancreatitis in the context of a Klatskin tumour (a hilar cholangiocarcinoma).
The ophthalmologic evaluation revealed the best corrected visual acuity (BCVA) of 20/32 in the right eye (RE) and of 20/40 in the left eye (LE); biomicroscopy of anterior segment showed scleral icterus and fundoscopy revealed peripapillary cotton-wool spots, optic disc edema, and RPE hypo- and hyperpigmentation in the middle peripheral retina in both eyes with an intraretinal hemorrhage in the LE.
15 months after the initial presentation, without ophthalmological treatment, there was an improvement of BCVA to 20/20 in both eyes and optical coherence tomography (OCT) revealed areas of reduction of retinal nerve fiber layer thickness corresponding to the previous cotton-wool spots.
Conclusion.
Purtscher-like retinopathy should not be neglected in complex clinical contexts.
Its unclear pathophysiology determines an uncertain treatment strategy, but a meticulous follow-up is compulsory in order to avoid its severe complications.
American Psychological Association (APA)
Massa, Rita& Vale, Carolina& Macedo, Mafalda& Furtado, Maria João& Gomes, Miguel& Lume, Miguel…[et al.]. 2015. Purtscher-Like Retinopathy. Case Reports in Ophthalmological Medicine،Vol. 2015, no. 2015, pp.1-5.
https://search.emarefa.net/detail/BIM-1059373
Modern Language Association (MLA)
Massa, Rita…[et al.]. Purtscher-Like Retinopathy. Case Reports in Ophthalmological Medicine No. 2015 (2015), pp.1-5.
https://search.emarefa.net/detail/BIM-1059373
American Medical Association (AMA)
Massa, Rita& Vale, Carolina& Macedo, Mafalda& Furtado, Maria João& Gomes, Miguel& Lume, Miguel…[et al.]. Purtscher-Like Retinopathy. Case Reports in Ophthalmological Medicine. 2015. Vol. 2015, no. 2015, pp.1-5.
https://search.emarefa.net/detail/BIM-1059373
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1059373