Purtscher's retinopathy.
| Autor: | Roncone DP; Reholt Vision Institute, Boardman, Ohio 44512, USA. davidproncone@hotmail.com |
|---|---|
| Jazyk: | angličtina |
| Zdroj: | Optometry (St. Louis, Mo.) [Optometry] 2002 Mar; Vol. 73 (3), pp. 166-72. |
| Abstrakt: | Background: Purtscher's retinopathy (a.k.a. angiopathia retinae traumatica) is a traumatic angiopathy, most commonly caused by head and chest trauma. The most-prevalent bilateral retinal signs include white ischemic infarcts (cotton-wool spots or Purtscher-flecken) and hemorrhages (dot and blot, pre-retinal, or flame). The prognosis for patients with decreased vision is unpredictable. Case Report: A 19-year-old man came to the Louis Stokes Cleveland Veterans Administration Optometry Clinic for a consultation to rule out ocular anomalies associated with a motor vehicle accident. The patient was diagnosed with Purtscher's retinopathy in the right eye due to cotton-wool spots observed during fundus examination, an air embolism discovered on chest X-ray, and a history of head/chest trauma. All signs and symptoms had resolved by 1-month follow-up examination. The patient's visual acuity resolved to 20/30 in the right eye. Conclusions: Purtscher's retinopathy is a traumatic angiopathy with an uncertain pathophysiology. A case report and review are presented, and the role of optometry in its management is discussed. |
| Databáze: | MEDLINE |
| Externí odkaz: |
|