1887
Volume 2012, Issue 1
  • ISSN: 1999-7086
  • EISSN: 1999-7094

Abstract

Abstract

We report a case of bilateral Purtscher’s retinopathy in a young man following a motor vehicle rollover accident. Decreased vision was noticed on the fifth day following the trauma. Visual acuity in the right eye was close counting finger, and left eye, counting finger one meter. There was no evidence of direct ocular, head or facial trauma. Purtscher flecken, pre-retinal and retinal hemorrhages were present in both eyes. The right eye showed optic disc edema and more extensive areas of capillary dropout. Patient was treated with intravenous methyl prednisolone. After 5 weeks the right eye vision improved to counting finger one meter and left eye improved to 6/18. Early detection, proper documentation and treatment of the underlying causes in these cases is very important in order to avoid medico-legal pitfalls.

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2012-05-07
2024-03-29
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References

  1. Agrawal A. and McKibbin M.  Purtscher’s and Purtscher-like retinopathies: a review. Surv Ophthalmol. Mar.–Apr. 2006; 51::2, 129136.
    [Google Scholar]
  2. Kuhn, F., Pieramici D.J. (Eds.). Ocular Trauma: Principles and Practice. 1st Ed. 2002, Chapter 33, pp. 350–360.
  3. Burton T.C.  Unilateral Purtscher’s retinopathy. Ophthalmology. 1980; 87::10961105.
    [Google Scholar]
  4. Atabay C., Kansu T. and Nurlu G.  Late visual recovery after intravenous methylprednisolone treatment of Purtscher’s retinopathy. Ann Ophthalmol. 1993; 25::330333.
    [Google Scholar]
  5. A.B. Beckingsale A.B. and Rosenthal A.R.  Early fundus fluorescein angiographic findings and sequelae in traumatic retinopathy: case report. Br J Ophthalmol. 1983; 67::119123.
    [Google Scholar]
  6. Jacob H.S., Craddock P.R., Hammerschmidt D.E.  et al. Complement-induced granulocyte aggregation: an unsuspected mechanism of disease. N Engl J Med. 1980; 302::789794.
    [Google Scholar]
  7. Agrawal A. and Mckibbin M.  Purtscher’s retinopathy epidemiology clinical features and outcome. Br J Ophthalmol. 2007 November; 91::11, 14561459.
    [Google Scholar]
  8. Michaelson I.C. and Campbell A.C.P.  The anatomy of the finer retinal vessels. Trans Ophthalmol Soc UK. 1940; 60::71111.
    [Google Scholar]
  9. Gomez-Ulla F., Fente Band, Torreiro M.G.  et al. Choroidal vascular abnormality in Purtscher’s retinopathy shown by indocyanine green angiography. Am J Ophthalmol. 1996; 122::261263.
    [Google Scholar]
  10. Wang A.G., Yand Y.M. and Liu J.H.  Pathogenesis and neuroprotective treatment in Purtscher’s retinopathy. Jpn J Ophthalmol. 1988; 42::318322.
    [Google Scholar]
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