Document Type : Case Report


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


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


Main Subjects

1. Purtscher O. Noch unbekannte befunde nach schadeltrauma. Ber Zusammenkunft Dtsch Ophthalmol Ges.1910;36:294-301.
2. Ávila-Marrón E, Liscombe-Sepúlveda JP, Manfreda-Dominguez L, Rochina-Pérez P, Duch-Samper A. Purtscher’s retinopathy case report: short posterior ciliary arteries contribution to radial peripapillary capillary system observed with opticalcoherence tomography angiography. Int Ophthalmol. 2019;39(11): 2661-5. doi:10.1007/s10792-019-01086-9.
3. Alzahrani M, Rehman MA, Basodan T, Adnan I, Akhtar M. Purtscher’s retinopathy in scleroderma. GMS Ophthalmol
Cases. 2019; 9: Doc07. doi: 10.3205/oc000096.
4. Tripathy K, Patel BC. Purtscher retinopathy. In: StatPearls. Treasure Island, FL: StatPearls Publishing; 2021.
5. Mishra SK, Sharma V, Kamal V, Kumar A. Purtscher’s retinopathy. QJM: An International Journal of Medicine. 2020;
113(7): 495-6. doi: 10.1093/qjmed/hcz256.
6. Hussain RM, Yung CW. Purtscher’s retinopathy. Ophthalmology. 2016; 123(8): 1666. doi:10.1016/j.ophtha.2016.04.046.
7. Kasi SK, Larson J, Stewart JM. Purtscher’s retinopathy. Ophthalmology. 2017; 124(7): 1047. doi: 10.1016/j.ophtha.2016.12.038.
8. Liang LL, Zhou DD, Lu CW. Purtscher-like retinopathy. Am J Med Sci 2017; 354(3): 330. doi: 10.1016/j.amjms.2017.02.009.
9. Roncone DP. Purtscher’s retinopathy. Optometry. 2002; 73(3):166-72.
10. Mikaniki E, Rasoulinejad SA, Mikaniki M, Shirzadian AH. Purtscher’s-like retinopathy. Qom Univ Med Sci. J 2014; 8(1):76-9. [Persian].
11. Blodi BA, Johnson MW, Gass JD, Fine SL, Joffe LM. Purtscher’slikeretinopathy after childbirth. Ophthalmology. 1990; 97(12):1654-9. doi: 10.1016/s0161-6420(90)32365-5.