Abstract
We hereby described two cases with unilateral Purtscher-like retinopathy. The first case occurred following an uneventful spontaneous vaginal delivery. The second case had no discernable cause despite having meticulous systemic work-up. Both eyes had low presenting visual acuity of hand movements and 20/200 consecutively. We elected to inject 1 mg triamcinolone acetolamide in-travitreally for the treatment. Though, there was some subjective visual and clinical improvement within time in both patients, we were not convinced that intravitreal injection was superior to no treatment approach.
Highlights
Purtscher’s retinopathy is an occlusive microvasculopathy associated with trauma and was first described in 1910 by Otmar Purtscher in a man who fell off a tree and suffered a head trauma [1]
We present two patients with unilateral Purtscher-like retinopathy treated with a single 1 mg intravitreal triamcinolone acetonide injection and discuss their clinical outcome
The diagnosis of Purtscher’s and Purtscher-like retinopathies is mostly based on the clinical findings and past medical history
Summary
Purtscher’s retinopathy is an occlusive microvasculopathy associated with trauma and was first described in 1910 by Otmar Purtscher in a man who fell off a tree and suffered a head trauma [1]. The most common retinal findings are cotton-wool spots, retinal hemorrhages and Purtscher’s flecken, which are considered to be pathognomonic but occur about only in 50% of patients [2]. (2014) Is There a Role for Intravitreal Triamcinolone Acetonide Injection in the Treatment of Purtscher-Like Retinopathy? At present no well-proven treatment algorithm exists for either Purtscher’s or Purtscher-like retinopathy. Several treatment modalities were employed in a small number of patients with some success. We present two patients with unilateral Purtscher-like retinopathy treated with a single 1 mg intravitreal triamcinolone acetonide injection and discuss their clinical outcome
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