Bilateral severe visual loss in a patient with acute pancreatitis: Purtscher-like Retinopathy

Ricardo Evangelista Marrocos De Aragao,Igor Costa Menezes,Gustavo Jose Arruda Mendes Carneiro,Jhonatan De Paula Araujo Ferreira,Nayara Queiroz Cardoso Pinto,Talles Peterson Cavalcante Oria,Ieda Maria Alexandre Barreira

doi:10.20513/2447-6595.2017v57n2p50-52

Ricardo Evangelista Marrocos De Aragao, Igor Costa Menezes + Show 5 more

Open Access

https://doi.org/10.20513/2447-6595.2017v57n2p50-52

Copy DOI

Abstract

Purtscher retinopathy is a unilateral or bilateral visual loss following acute injury to the thorax or head. It is characterized by large cotton-wool spots, hemorrhages, and retinal edema. Vision loss may be permanent due to isquemia of the retina, and optic atrophy. Is thought to be a result of injury-induced complement ativation causing granulocyte aggregation and leukoembolization. Other conditions may active complement and may produce similar fundus appearance including acute pancreatitis, collagen-vascular disease, childbirth, and amniotic fluid embolism. Herein, we describe a patient with bilateral permanent visual loss following diagnosis of acute pancreatitis.

Highlights

Purtscher retinopathy is a unilateral or bilateral visual loss following acute injury to the thorax or head. It is characterized by large cotton-wool spots, hemorrhages, and retinal edema
3XUWVFKHU 5HWLQRSDWK\ LV D FRQGLWLRQ ¿UVW GHVFULEHG LQ by Otmar Purtscher, in a patient with severe head trauma. It is characterized by sudden severe vision loss after acute compression injuries to the thorax or head, long-bone fracture, and crush injury. It is associated with presence of multiple white retinal patches, unilateral or bilateral, usually accompanied by retinal hemorrhages, large cotton-wool spots and occasionally disc edema
Purtscher Retinopathy is a rare disease, characterized by a severe sudden unilateral or bilateral visual loss associated with thorax or head trauma, can occur in other situations, such as acute pancreatitis, collagen-vascular diseases, as systemic lupus erythematosus, and has EHHQVHHQLQFKLOGELUWKIDWHPEROLVPDQGDPQLRWLFÀXLG6 In these cases the term Purtscher-like retinopathy is used

Summary

Introduction

1 Doutor em medicina pela Universidade de Regensburg, Ratisbona, Alemanha, Preceptor de Retina do Hospital Universitário Walter Cantídio (HUWC), Universidade Federal do Ceará (UFC), Fortaleza, Ceará, Brasil. Purtscher retinopathy is a unilateral or bilateral visual loss following acute injury to the thorax or head.

Results

Conclusion