Purtscher-like Retinopathy following Acute Pancreatitis: A Case Report
| Autor: | Vishakha Tulshiram Vatkar, Rutu Kaushikbhai Rao, Iqra Mushtaq, Deepaswi Bhavsar, Khushboo Anand Goyal |
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| Jazyk: | angličtina |
| Rok vydání: | 2024 |
| Předmět: | |
| Zdroj: | Journal of Clinical and Diagnostic Research, Vol 18, Iss 09, Pp 01-03 (2024) |
| Druh dokumentu: | article |
| ISSN: | 2249-782X 0973-709X |
| DOI: | 10.7860/JCDR/2024/73623.19941 |
| Popis: | Purtscher Retinopathy (PR) is also known as traumatic retinal angiopathy or lymphorrhagia retinae or retinal teletraumatism. It presents as occlusive retinal microvasculopathy distinguished by the presence of multiple retinal white lesions surrounding the optic nerve head and fovea, accompanied by perivascular clearing, often coinciding with intraretinal haemorrhages. Correlated conditions comprise of acute pancreatitis, crush injuries, severe head trauma, chest compression, long bone fractures, orthopaedic surgical procedures, Haemolysis, Elevated Liver Enzymes, and Low Platelets (HELLP) syndrome and battered baby syndrome. PR is a rare microvasculopathy, which is occlusive in nature and causes sudden and painless diminution of vision following serious trauma but might also be associated with non-traumatic aetiologies as well. The term Purtscher-like retinopathy is used when it occurs due to non-traumatic causes. Here, the authors present a case of a 25-year-old female, admitted to the hospital for severe abdominal pain, persistent nausea and multiple episodes of vomiting since two days. Her laboratory findings and radiological investigations revealed findings suggestive of acute pancreatitis. On day 2 of admission, she reported a bilateral diminution of vision. The ophthalmic evaluation revealed visual impairment and characteristic retinal findings of Purtscher flecken, cotton wool spots and few intraretinal haemorrhages mainly in the posterior pole. This case highlights the association between Purtscher-like retinopathy and acute pancreatitis. |
| Databáze: | Directory of Open Access Journals |
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