Purtscher Retinopathy

Ribeiro, Débora Furuzawa; Rodrigues, Eduardo Büchele; Guerra, Ricardo Luz Leitão; Cotrim, Carina Costa

doi:10.1007/978-981-13-8550-6_7

Cited by 2 publications

(1 citation statement)

References 9 publications

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“…In some cases, retinal impairments in DM might exhibit the so-called Purtscher retinopathy-like features: polygonal areas of retinal whitening occurring in the inner retina, cotton-wool spots, retinal hemorrhages and optic disc edema [122]. Purtscher retinopathy was first described in 1910 by Otmar Purtscher in a patient who fell from a tree and suffered cranial trauma [123]. Currently, the term "Purtscher-like retinopathy" is rather used to encompass multiple clinical entities where these patterns can be found: acute pancreatitis, renal failure, fat embolism syndrome, pre-eclampsia and multiple CTDs [124].…”

Section: Retinal Vasculopathy In Inflammatory Idiopathic Myopathiesmentioning

confidence: 99%

Ocular microvascular damage in autoimmune rheumatic diseases: The pathophysiological role of the immune system

Hysa

Cutolo

Gotelli

et al. 2021

Autoimmunity Reviews

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Section: Retinal Vasculopathy In Inflammatory Idiopathic Myopathiesmentioning

confidence: 99%

Ocular microvascular damage in autoimmune rheumatic diseases: The pathophysiological role of the immune system

Hysa

Cutolo

Gotelli

et al. 2021

Autoimmunity Reviews

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Purtscher-like retinopathy following coronary artery bypass grafting in an antiphospholipid syndrome patient: a case report

et al. 2023

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Background Purtscher retinopathy is a rare occlusive microangiopathy comprising a constellation of retinal signs including cotton wool spots, retinal hemorrhages and Purtscher flecken. While classical Purtscher must be antedated by a traumatic incident, Purtscher-like retinopathy is used to refer to the same clinical syndrome in the absence of trauma. Various non-traumatic conditions have been associated with Purtscher-like retinopathy e.g. acute pancreatitis, preeclampsia, parturition, renal failure and multiple connective tissue disorders. In this case study, we report the occurrence of Purtscher-like retinopathy following coronary artery bypass grafting in a female patient with primary antiphospholipid syndrome (APS). Case presentation A 48-year-old Caucasian female patient presented with a complaint of acute painless diminution of vision in the left eye (OS) that occurred approximately two months earlier. Clinical history revealed that the patient underwent coronary artery bypass grafting (CABG) two months earlier and that visual symptoms started 4 days thereafter. Furthermore, the patient reported undergoing percutaneous coronary intervention (PCI) one year before for another myocardial ischemic event. Ophthalmological examination revealed multiple yellowish-white superficial retinal lesions i.e. cotton-wool spots, exclusively in the posterior pole and predominantly macular within the temporal vascular arcades only OS. Fundus examination of the right eye (OD) was normal and the anterior segment examination of both eyes (OU) was unremarkable. A diagnosis of Purtscher-like retinopathy was made based on clinical signs, suggestive history and consolidated by fundus fluorescein angiography (FFA), spectral domain optical coherence tomography (SD-OCT) and optical coherence tomography angiography (OCTA) of macula, optic nerve head (ONH) according to the diagnostic guidelines of Miguel. The patient was referred to a rheumatologist to identify the underlying systemic cause and was diagnosed with primary antiphospholipid syndrome (APS). Conclusions We report a case of Purtscher-like retinopathy complicating primary antiphospholipid syndrome (APS) following coronary artery bypass grafting. This conveys a message to clinicians that patients presenting with Purtscher-like retinopathy should undergo meticulous systemic work-up in order to identify potentially life-threatening underlying systemic diseases.

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Purtscher Retinopathy

Cited by 2 publications

References 9 publications

Ocular microvascular damage in autoimmune rheumatic diseases: The pathophysiological role of the immune system

Ocular microvascular damage in autoimmune rheumatic diseases: The pathophysiological role of the immune system

Purtscher-like retinopathy following coronary artery bypass grafting in an antiphospholipid syndrome patient: a case report

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