Purtscher-like retinopathy associated with cerebro- or cardiovascular surgery

Autor: Masaki Sakamoto, Eiki Oshida, Shigeki Machida, Tomoharu Nishimura
Jazyk: angličtina
Rok vydání: 2017
Předmět:
Zdroj: American Journal of Ophthalmology Case Reports, Vol 8, Iss C, Pp 62-66 (2017)
American Journal of Ophthalmology Case Reports
ISSN: 2451-9936
Popis: Purpose To report the findings in five patients of Purtscher-like retinopathy that developed after cerebro- or cardiovascular surgeries. Observations Three women and two men with a mean age of 56.6 years were studied. They had had cerebro- or cardiovascular disease that was treated by major vascular surgery. Postoperatively, all of the patients developed multiple patches of retinal whitening in the area corresponding to the radial peripapillary capillaries in the posterior pole of the eye uni- or bilaterally. In two patients, the optic nerve head was involved which affected their vision severely. Hematological examinations showed hypercoagulable state after the surgeries. The retinal pathologies abated with time. Conclusions and importance These results indicate that major cardio- or cerebrovascular surgeries can cause Purtscher-like retinopathy. The hypercoagulable state and specific structures of the radial peripapillary capillaries may play a role in pathogenesis of this disease.
Databáze: OpenAIRE