Abstract
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. One week later best-corrected visual acuities remained the same in both eyes with similar fundus appearance. One month after initial presentation visual acuity was 20/20 in both eyes with no abnormality in fundus appearance.
Highlights
Purtscher’s retinopathy (PR) was firstly defined by Otmar Purtscher in 1910 in a patient following head trauma. Fundus examination in both eyes displayed various sizes of cotton wool spots with intraretinal hemorrhages limited to posterior pole which were named Purtscher flecken [1, 2]
Besides traumatic PR, this characteristic fundus view has been found in several disorders including acute pancreatitis, hemolysis, elevated liver enzyme levels and low platelet levels (HELLP) syndrome, hemolytic uremic syndrome, amniotic fluid embolism, thrombocytopenic purpura, and renal failure in which all were named Purtscherlike retinopathy [3, 4]
Anorexia nervosa (AN), a kind of eating disorder, is a psychological disease that leads to ruinous physical consequences
Summary
Purtscher’s retinopathy (PR) was firstly defined by Otmar Purtscher in 1910 in a patient following head trauma. Fundus examination in both eyes displayed various sizes of cotton wool spots with intraretinal hemorrhages limited to posterior pole which were named Purtscher flecken [1, 2]. Besides traumatic PR, this characteristic fundus view has been found in several disorders including acute pancreatitis, hemolysis, elevated liver enzyme levels and low platelet levels (HELLP) syndrome, hemolytic uremic syndrome, amniotic fluid embolism, thrombocytopenic purpura, and renal failure in which all were named Purtscherlike retinopathy [3, 4]. We presented clinical characteristics of a patient with Purtscher-like retinopathy due to AN in the current report
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