Purtscher and Purtscher-like retinopathies are rare but important to recognize. Its diagnosis is clinical, in which at least 3 of the following diagnostic criteria should be present: 1) Purtscher-flecken (visible in the fundoscopy, they are intra-retinal whitening areas with a clear zone on either side of the vessels), 2) intra-retinal hemorrhages, 3) cotton wool spots (these are located superf...

A 25-year-old woman presented with acute bilateral blurred vision and history of headache, dizziness, and syncope for three days. Her visual acuity was 20/60 in both eyes. Fundoscopy revealed multiple bilateral peripapillary yellow-white patches like cotton wool spots, intraretinal hemorrhages and macular edema. The patient was diagnosed with Purtscher-like retinopathy based on the retinal find...

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 ...

PURPOSE To report a case of Purtscher-like retinopathy after weightlifting. METHODS A 17-year-old man presented with a sudden visual loss in his left eye after weightlifting two weeks ago. Fundus examination of the left eye showed cotton-wool spots and scattered retinal hemorrhages in the posterior pole. Fluorescein angiography and indocyanine green angiography with a scanning laser ophthalmo...

Purtscher-like retinopathy is associated with retinal hemorrhages and ischaemia probably due to the complement-mediated leukoembolization. It is a rare and severe angiopathy found in conditions such as acute pancreatitis. Case. We present a case of a 53-year-old man who presented with a Purtscher-like retinopathy associated with the development of acute pancreatitis in the context of a Klatskin...

CMAJ • DECEMBER 8, 2009 • 181(12) © 2009 Canadian Medical Association or its licensors E277 A53-year-old man presented with acute, severe loss of vision in both eyes. Three days earlier, he had noticed a painless deterioration of his vision, which had progressed until he could no longer read a newspaper using either eye. On examination, the patient’s best corrected visual acuity was 20/100 usin...

Purtscher's retinopathy is usually associated with trauma, acute pancreatitis, vasculitis, lupus, and bone fractures. It was rarely described postpartum in patients with preeclampsia as well as associated with HELLP syndrome. We present a case of a multiparous patient aged 44 with severe preeclampsia and postpartum HELLP syndrome complicated with Purtscher-like retinopathy and large ruptured su...

Purtscher retinopathy (PR) is an occlusive vasculopathy of the retinal microvasculature that classically presents 24-48 hours after compressive chest trauma. Symptoms vary from mild to severe acute visual loss. Characteristic findings on fundus examination such as flecken, cotton wool spots, and hemorrhages may also be found. Here, we discuss a case due