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Praveen Subudhi, Sanghamitra Kanungo, Nageswar Rao Subudhi
A 28-year-old man presented with a sudden onset of visual loss in both eyes (OU). He had a known history of acute pancreatitis and hepatitis following alcohol abuse. Examination of the anterior segment of the eye revealed non-sustained pupillary light reaction. The fundus showed typical Purtscher's flecken over the posterior pole with multiple cotton wool spots and retinal superficial haemorrhages in OU. Fundus fluorescein angiogram revealed abnormal hypofluorescence in both the posterior poles. Optical coherence tomography (OCT) for Purtscher's flecken showed abnormal retinal thickening with hyper-reflective areas in the inner neurosensory layers...
2016: BMJ Case Reports
Cihan Buyukavsar, Ergenekon Karagoz, Murat Sonmez, Taner Kar, Abdullah Kaya, Eyup Düzgun, Yildiray Yildirim
Adult-onset Still's disease (AOSD) is a rare multisystemic immune-mediated disease of unknown etiology with quotidian spiking fever, evanescent rash, arthralgia, and multiple organ involvement. The few AOSD cases that have been reported developed Purtscher's-like retinopathy associated with thrombotic microangiopathy (TMA). Here, we report Purtscher's-like retinopathy without TMA in a patient with AOSD. A 29-year-old-man who presented for evaluation of blurred vision was diagnosed with AOSD based on Yamaguchi criteria...
September 6, 2016: Ocular Immunology and Inflammation
Azadeh Khatibi
PURPOSE: To report a case of Purtscher-like retinopathy with paracentral acute middle maculopathy preceded by febrile illness after filler injection into the buttock muscles bilaterally for cosmesis to achieve a "Brazilian booty." METHODS: Retrospective case report. RESULTS: A 35-year-old female presented with febrile illness and then decreased vision after repeat polymethyl methacrylate injections into her buttock muscles in Mexico. Examination was significant for retinal whitening, especially in the perifoveal areas, and intraretinal hemorrhages...
August 22, 2016: Retinal Cases & Brief Reports
Siddharth Narendran, V R Saravanan, Merlyn Pereira
Purtscher and Purtscher-like retinopathy is a distinctive retinal syndrome characterized by ischemic retinal whitening in a peripapillary pattern. We report a case of Purtscher-like retinopathy in a healthy 64-year-old man after a routine peribulbar anesthetic injection for cataract surgery. Although peribulbar anesthesia is considered to be a safer alternative to retrobulbar anesthesia, it has been associated with unusual but grave complications including central retinal artery occlusion.
June 2016: Indian Journal of Ophthalmology
Dov B Sebrow, Elona Dhrami-Gavazi, Jason D Horowitz, Lawrence A Yannuzzi
PURPOSE: The authors describe a woman diagnosed with hemophagocytic lymphohistiocytosis and found to have retinal examination findings consistent with Purtscher retinopathy. METHODS: A 52-year-old woman underwent multimodal imaging, including color fundus photography and spectral-domain optical coherence tomography, to confirm the diagnosis. RESULTS: The ophthalmic examination and imaging confirmed the findings of Purtscher retinopathy with significant inner retinal thickening on spectral-domain optical coherence tomography...
July 28, 2016: Retinal Cases & Brief Reports
Rehan M Hussain, Chi-Wah Yung
No abstract text is available yet for this article.
August 2016: Ophthalmology
Nitin Nema, Saba Ishrat, Abha Verma, Manoj Kela
A 23-year-old man with a history of alcoholism presented with vomiting, fever, and sharp epigastric pain radiating to the back and flanks. He was diagnosed as a case of acute alcoholic pancreatitis on the basis of clinical findings and investigations. On the next day of presentation, he developed sudden bilateral visual loss. His best-corrected visual acuity was finger counting at one-foot distance in both eyes. He had diffuse whitening in the circumpapillary area, haloes around the retinal vessels (Purtscher flecken) and intra-retinal hemorrhages on ophthalmoscopic examination...
May 2016: Oman Journal of Ophthalmology
Motoharu Tokimitsu, Masako Murata, Yuichi Toriyama, Takao Hirano, Yasuhiro Iesato, Toshinori Murata
BACKGROUND: Fat embolism in the deep retinal capillary plexus is one of the reported mechanisms underlying central/paracentral scotoma in patients with Purtscher's retinopathy. Here we report the clear delineation of capillary dropout in the deep capillary plexus using optical coherence tomography angiography (OCTA) in a chronic case of unexplained scotoma that developed after femoral fracture. The patient exhibited normal fluorescein angiography (FA) findings and a normal retinal appearance...
2016: BMC Ophthalmology
Ahmed Chebil, Rym Mammouri, Mohamed Ben Abdallah, Leila El Matri
Purtscher's retinopathy is a rare condition that is noted in cases related to various types of trauma. The characteristic finding in the fundus is the presence of multiple Purtscher flecken. Purtscher-like retinopathy has a similar presentation in the fundus but is not associated with trauma. We report the case of a 55-year-old male who presented a severe visual loss during course of a hepatitis C infection. Ophthalmic examination indicated peripapillary cotton wool spots and superficial retinal whitening in the macula...
April 2016: Middle East African Journal of Ophthalmology
Bugra Karasu, Betul Onal Gunay, Gurkan Erdogan, Esra Kardes, Murat Gunay
A 21-year-old girl presented with acute painless vision loss in her right eye. There was no remarkable ocular history and she had a history of anorexia nervosa. At presentation best-corrected visual acuities were counting fingers from 2 meters and 20/20, in the right and left eyes, respectively. Slit lamp examination result was normal. Fundus examination revealed multiple cotton wool spots and intraretinal hemorrhages surrounding the optic disc and macula in the right eye. Fluorescein angiography showed capillary filling defect and leakage from optic disc in the late phase of the angiogram...
2016: Case Reports in Ophthalmological Medicine
Andreas Karwautz, Anna-Katharina Purtscher-Penz, Paulus Hochgatterer, Thomas Elstner, Gabriele Schöfbeck
No abstract text is available yet for this article.
March 2016: Neuropsychiatrie: Klinik, Diagnostik, Therapie und Rehabilitation
Reem M Alahmadi, Rotana T Hashim, Sultan M Almogairin, Ahmed M Abu
Systemic lupus erythematosus (SLE) is an autoimmune inflammatory disease, characterized by the involvement of multiple organ systems. Ocular involvement, being one of the manifestations, contributes to the assessment of disease activity. Purtscher-like retinopathy has been reported as a manifestation of SLE. An otherwise healthy 21-year old female presented with a bilateral rapid decrease in vision for 1 month. Fundus examination revealed multiple cotton wool spots and flame-shaped hemorrhages in both eyes...
January 2016: Annals of Saudi Medicine
Andreas Karwautz, Anna-Katharina Purtscher-Penz, Paulus Hochgatterer
No abstract text is available yet for this article.
2015: Neuropsychiatrie: Klinik, Diagnostik, Therapie und Rehabilitation
Pedro Gil, Joana Pires, Esmeralda Costa, Rita Matos, Mariana Sá Cardoso, Manuel Mariano
PURPOSE: To report a case of Purtscher retinopathy and its therapeutic approach. METHODS: In this observational case report, complete ophthalmologic examination was performed, including best-corrected visual acuity (BCVA) testing, slit-lamp biomicroscopy, dilated fundus examination, spectral-domain optical coherence tomography (OCT), fluorescein angiography (FA), and Humphrey 24-2 visual field testing. RESULTS: The patient complained of right eye diminished visual acuity 48 hours after a car accident, with severe thoracic and abdominal blunt trauma but no direct ocular trauma...
November 2015: European Journal of Ophthalmology
Xuejing Chen, Ehsan Rahimy, Robert C Sergott, Renata P Nunes, Eduardo C Souza, Netan Choudhry, Nathan E Cutler, Samuel K S Houston, Marion R Munk, Amani A Fawzi, Sonia Mehta, Jean-Pierre Hubschman, Allen C Ho, David Sarraf
PURPOSE: To evaluate the spectrum of retinal diseases that can demonstrate paracentral acute middle maculopathy and isolated ischemia of the intermediate and deep capillary plexus. DESIGN: Retrospective, multicenter, observational case series. METHODS: This is a retrospective case series review of 9 patients (10 eyes) from 5 centers with paracentral acute middle maculopathy lesions and previously unreported retinal vascular etiologies. Case presentations and multimodal imaging, including color photographs, near-infrared reflectance, fluorescein angiography, spectral-domain optical coherence tomography (SD OCT), and orbital color Doppler imaging, are described...
July 2015: American Journal of Ophthalmology
C Seguy, Q De Bosredon, M-N Delyfer, M-B Rougier, J-F Korobelnik
No abstract text is available yet for this article.
April 2015: Journal Français D'ophtalmologie
Andreas Karwautz, Anna-Katharina Purtscher-Penz, Paulus Hochgatterer
No abstract text is available yet for this article.
2015: Neuropsychiatrie: Klinik, Diagnostik, Therapie und Rehabilitation
Maria Papadaki, Pierre Lefebvre, Sarah Janssens, Marie Daguzan, Laurence Postelmans, Laure Caspers, Francois Willermain
PURPOSE: To present the case of a young Turkish pregnant patient with bilateral, sight-threatening retinal ischemic vasculopathy and systemic signs suggestive of Behçet disease (oral ulceration, arthritis, and pseudofolliculitis). METHODS: Case report. RESULTS: Multiple areas of superficial, retinal white lesions and few hemorrhages related to occlusions of small retinal vessels were observed at presentation in the macular zone of both eyes...
2015: Retinal Cases & Brief Reports
Rita Massa, Carolina Vale, Mafalda Macedo, Maria João Furtado, Miguel Gomes, Miguel Lume, Angelina Meireles
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...
2015: Case Reports in Ophthalmological Medicine
João Caetano Ávila Geraissate, Rafael Eidi Yamamoto, David Leonardo Cruvinel Isaac, Marcos Pereira de Ávila
We describe the case of a 23-month-old female infant with a diagnosis of hemolytic uremic syndrome (HUS) and hemorrhagic retinopathy. The patient had a past history of abdominal pain, bloody diarrhea, and acute renal failure. On ophthalmologic examination, indirect ophthalmoscopy revealed extensive areas of flame-shaped hemorrhage, cotton wool spots, macular edema and optic nerve head neovascularization in both eyes. Fluorescein angiography showed severe bilateral retinal ischemia and neovascularization leakage in disk...
November 2014: Arquivos Brasileiros de Oftalmologia
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