Journal of Emergency Practice and Trauma

Purtscher’s retinopathy following trauma: A case report

Document Type : Case Report

Author

Seyed Ahmad Rasoulinejad

Department of Ophthalmology, Ayatollah Rouhani Hospital, Babol University of Medical Sciences, Babol, Iran

https://doi.org/10.34172/jept.2022.10
Abstract
Objective: Purtscher’s retinopathy is the retinal damage following trauma or non-traumatic systemic disease, which may contain cotton-wool spots (CWSs), and may cause Purtscher flecken, atrophy of the optic nerve, and hemorrhage of the posterior pole of the eye.
Case Presentation: A 28-year-old male patient fell down from a height of 10 m and was admitted with swelling and ecchymosis of the peri-orbit of the right eye. The patient’s vision was at the level of light perception. A mild subconjunctival hemorrhage and hyphema were seen in the right eye. In the fundus, the hemorrhage, edema, and CWS were seen in the posterior pole and around the optic disk. Macular thickness (MT) in Purtscher’s retinopathic eye was 353 μm. Also, the patient had a nose and mandibular fracture and was hospitalized for several days.
Conclusion: The findings indicate a decrease in the vision due to Purtscher’s retinopathy caused by trauma. There was no improvement spontaneously

Keywords

Eye
Retina
Retinal diseases
Macular edema
Subjects
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Journal of Emergency Practice and Trauma
Volume 9, Issue 1
January 2023
Pages 58-59

  • Receive Date 08 April 2022
  • Revise Date 12 May 2022
  • Accept Date 21 May 2022

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