Purtscher-Like Retinopathy
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-li...
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| Format: | Article |
| Language: | English |
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Wiley
2015-01-01
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| Series: | Case Reports in Ophthalmological Medicine |
| Online Access: | http://dx.doi.org/10.1155/2015/421329 |
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| author | Rita Massa Carolina Vale Mafalda Macedo Maria João Furtado Miguel Gomes Miguel Lume Angelina Meireles |
| author_facet | Rita Massa Carolina Vale Mafalda Macedo Maria João Furtado Miguel Gomes Miguel Lume Angelina Meireles |
| author_sort | Rita Massa |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-b1e5e7a4ae194cd2b6ad31d59f149fa7 |
| institution | Kabale University |
| issn | 2090-6722 2090-6730 |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Ophthalmological Medicine |
| spelling | doaj-art-b1e5e7a4ae194cd2b6ad31d59f149fa72025-02-03T06:13:36ZengWileyCase Reports in Ophthalmological Medicine2090-67222090-67302015-01-01201510.1155/2015/421329421329Purtscher-Like RetinopathyRita Massa0Carolina Vale1Mafalda Macedo2Maria João Furtado3Miguel Gomes4Miguel Lume5Angelina Meireles6Department of Ophthalmology, Hospital de Santo António, Centro Hospitalar do Porto, Largo Professor Abel Salazar, 4099-001 Porto, PortugalDepartment of Ophthalmology, Hospital de Santo António, Centro Hospitalar do Porto, Largo Professor Abel Salazar, 4099-001 Porto, PortugalDepartment of Ophthalmology, Hospital de Santo António, Centro Hospitalar do Porto, Largo Professor Abel Salazar, 4099-001 Porto, PortugalDepartment of Ophthalmology, Hospital de Santo António, Centro Hospitalar do Porto, Largo Professor Abel Salazar, 4099-001 Porto, PortugalDepartment of Ophthalmology, Hospital de Santo António, Centro Hospitalar do Porto, Largo Professor Abel Salazar, 4099-001 Porto, PortugalDepartment of Ophthalmology, Hospital de Santo António, Centro Hospitalar do Porto, Largo Professor Abel Salazar, 4099-001 Porto, PortugalDepartment of Ophthalmology, Hospital de Santo António, Centro Hospitalar do Porto, Largo Professor Abel Salazar, 4099-001 Porto, PortugalPurtscher-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.http://dx.doi.org/10.1155/2015/421329 |
| spellingShingle | Rita Massa Carolina Vale Mafalda Macedo Maria João Furtado Miguel Gomes Miguel Lume Angelina Meireles Purtscher-Like Retinopathy Case Reports in Ophthalmological Medicine |
| title | Purtscher-Like Retinopathy |
| title_full | Purtscher-Like Retinopathy |
| title_fullStr | Purtscher-Like Retinopathy |
| title_full_unstemmed | Purtscher-Like Retinopathy |
| title_short | Purtscher-Like Retinopathy |
| title_sort | purtscher like retinopathy |
| url | http://dx.doi.org/10.1155/2015/421329 |
| work_keys_str_mv | AT ritamassa purtscherlikeretinopathy AT carolinavale purtscherlikeretinopathy AT mafaldamacedo purtscherlikeretinopathy AT mariajoaofurtado purtscherlikeretinopathy AT miguelgomes purtscherlikeretinopathy AT miguellume purtscherlikeretinopathy AT angelinameireles purtscherlikeretinopathy |