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Journals / Retina-Vitreus / 2019 / Cilt: 28 - Sayı: 2

Impact of Early Intervention on Vision Gain in Purtscher’s Retinopathy

Erken Müdahale ile Beklenenin Üzerinde İyileşme Gösteren Purtscher Retinopati Olgusu

CEMAL ÖZSAYGILI
Süleyman DEMİRCAN
Pages
186–194
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

To the best of our knowledge, this is the fi rst reported case of Purtscher’s retinopathy, which is the treatment that started in the earliest period literature.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:A 46-year-old man presented to our clinic with a chest trauma during a car traffi c accident 2 hours ago and a complaints of decreased visual acuity more pronounced in left eye.
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Key Findings & Data:The patient’s visual acuity was 20/32 on the right and hand motion on the left eye.
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Conclusion & Impact:To the best of our knowledge, this is the fi rst reported case of Purtscher’s retinopathy, which is the treatment that started in the earliest period literature.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

A 46-year-old man presented to our clinic with a chest trauma during a car traffi c accident 2 hours ago and a complaints of decreased visual acuity more pronounced in left eye. The patient’s visual acuity was 20/32 on the right and hand motion on the left eye. On the fundus examination, yellow-white patch-like lesions, tiny retinal hemorrhages and macular edema were observed bilaterally, more prominent in left eye. The patient was diagnosed with Purtscher’s retinopathy based on absence of head trauma, associated retinal fi ndings, and assisted imaging methods. In this case report, it is aimed to present the diagnosis and treatment outcome of the patient with improved optical coherence tomography (OCT) and fundus fl uorescein angiography (FFA) imaging methods with dramatic visual enhancement in the short term with early systemic steroid therapy. To the best of our knowledge, this is the fi rst reported case of Purtscher’s retinopathy, which is the treatment that started in the earliest period literature.

Özet

Kırk altı yaşındaki erkek hasta 2 saat önce geçirdiği araç içi trafi k kazası (AİTK) sırasında göğüs travması ve sonrasında sol gözünde daha belirgin olan görme azalması şikayeti ile kliniğimize başvurdu. Hastanın görme keskinliği sağda 20/32, solda el hareketi düzeyindeydi. Fundus muayenesinde sol gözde belirgin olmak üzere sarı-beyaz yama tarzı lezyonlar, minik retinal hemorajiler ve maküla ödemi gözlendi. Kafa travması öyküsü bulunmaması, eşlik eden retina bulguları ve yardımcı görüntüleme yöntemleri ile birlikte Purtscher retinopati tanısı konuldu. Bu olgu sunumunda, erken dönem sistemik steroid tedavisi ile kısa sürede dramatik görme artışı sağlanan, optik koherans tomografi (OKT) ve fundus fl uorosein anjiografi (FFA) görüntüleme yöntemlerinde düzelme gözlenen hastanın tanı ve tedavi sonucunun sunulması amaçlanmıştır. Bildiğimiz kadarıyla bu olgu literatürde en erken dönemde tedavi başlanılan ve sonuç alınan Purtscher retinopati olgusudur.

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Cite This Article

ÖZSAYGILI, C., DEMİRCAN, S. (2019). Impact of Early Intervention on Vision Gain in Purtscher’s Retinopathy. Retina-Vitreus, Cilt: 28 - Sayı: 2, 186–194. https://ajindex.com/articles/307592

References (15)

  1. Purtscher 0. Noch unbekannte befunde nach schadeltrauma. Ber Dtsch Ophthalmol Ges 1910;36:294-301
  2. Carrera CRL, Pierre LM, Medina FMC, Pierre-Filho PDTP. Purtscher-like retinopathy associated with acute pancreatitis. Sao Paulo Med J. 2005;123(6):289-91
  3. Tabandeh H, Rosenfeld PJ, Alexandrakis G, Kronish JP CN. Purtscher-like retinopathy associated with pancreatic adenocarcinoma. Am J Ophthalmol. 1999;128:650-2
  4. Bader-Meunier B, Monnet D, Barnerias C, et al. Thrombotic microangiopathy and Purtscher-like retinopathy as a rare presentation of juvenile dermatomyositis. Pediatrics. 2012;129(3):e821-4
  5. Stoumbos VD, Klein ML GS. Purtscher-like retinopathy in chronic renal failure. Ophthalmology. 1992;99:1833-9
  6. Chuang EL, Miller FS KR. Retinal lesions following long bone fractures. Ophthalmology. 1985;92:370-4
  7. Scotton WJ, Kohler K, Babar J, Russell-Hermanns D, Chilvers ER. Fat embolism syndrome with Purtscher’s retinopathy. Am J Respir Crit Care Med. 2013;187(1):106
  8. Wilkinson WS, Morgan CM, Baruh E et al. Retinal and choroidal vascular occlusion secondary to corticosteroid embolisation. Br J Ophthalmol. 1989;73:32-4 9. Miguel a IM, Henriques F, Azevedo LFR, Loureiro a JR, Maberley D a L. Systematic review of Purtscher’s and Purtscher-like retinopathies. Eye (Lond). 2013;27(1):1-13
  9. Agrawal A, McKibbin MA. Purtscher’s and Purtscher-like retinopathies: a review. Surv Ophthalmol. 2006;51(2):129-36
  10. Agrawal A, McKibbin M. Purtscher’s retinopathy: epidemiology, clinical features and outcome. Br J Ophthalmol. 2007;91(11):1456- 9
  11. Holak HM, Holak S. Prognostic factors for visual outcome in purtscher retinopathy. Surv Ophthalmol. 2007;52(1):117-8
  12. Andrea Giani, Antonio Peroglio Deiro, Pierfi lippo Sabella CME. Spectral Domain-Optical Coherence Tomography and Fundus Autofl uorescence Findings in A Case of Purtscher-Like Retinopathy. Retin Cases Brief Rep. 2010;5(2):167-70
  13. Soliman W, Zibrandtsen N, Jørgensen T, Sander B, Alsbirk P-H, Larsen M. Sequels of Purtscher’s retinopathy imaged by enhanced optical coherence tomography. Acta Ophthalmol Scand. 2007;85(4):450-3
  14. Beckingsale a B, Rosenthal a R. Early fundus fl uorescein angiographic fi ndings and sequelae in traumatic retinopathy: case report. Br J Ophthalmol. 1983;67(2):119-23
  15. Gomez-Ulla, Fente B, Torreiro MG, Salorio MS GF. Choroidal vascular abnormality in Purtscher’s retinopathy shown by indocyanine green angiography. Am J Ophthalmol. 1996;122(2):261-3