Pseudo-rétinopathie de Purtscher : à propos d’un cas et revue de la littérature

Pina, J. Proenca; Ssi-Yan-Kai, K.; Monchy, I. De; Charpentier, B; Offret, H; Labétoulle, Marc

doi:10.1016/s0181-5512(08)75463-9

Cited by 19 publications

(13 citation statements)

References 31 publications

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“…These lesions are pathognomonic for the disease but occur in only half of patients. 3 Retinal edema or macular atrophy can be seen on OCT. However, OCT may be normal in some patients.…”

Section: Discussionmentioning

confidence: 99%

Purtscher-Like Retinopathy Associated with Synthetic Cannabinoid (Bonzai) Use

Onaran¹,

Akbulut²,

Tursun³

et al. 2019

tjo

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Purtscher’s retinopathy is a microvascular occlusive disease initially described as retinal edema, cotton wool-like exudation, and hemorrhages occurring after severe head trauma. A similar clinical presentation called Purtscher-like retinopathy is associated with systemic diseases instead of trauma. In the present case, ophthalmic eksamination of a patient with complaints of blurred vision related to substance (Bonzai) use revealed bilateral cotton-wool spots. Purtscher-like retinopathy was diagnosed based on fluorescein angiography and optical coherence tomography findings. This is the first case of Purtscher-like retinopathy associated with Bonzai use described in the literature.

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“…These lesions are pathognomonic for the disease but occur in only half of patients. 3 Retinal edema or macular atrophy can be seen on OCT. However, OCT may be normal in some patients.…”

Section: Discussionmentioning

confidence: 99%

Purtscher-Like Retinopathy Associated with Synthetic Cannabinoid (Bonzai) Use

Onaran¹,

Akbulut²,

Tursun³

et al. 2019

tjo

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“…Purtscher’s retinopathy clinically manifests as no visual impairment to a varying degree of visual impairment, which in many cases improves spontaneously with time [33]. This retinopathy is characterized by the presence of cotton wool spots and flame-shaped hemorrhages located only in the end arteriolar retinal circulation around the disc and macula, described in 83–92 % of a series of cases [34]. Purtscher flecken (intraretinal whitening with a clear zone on either side of the retinal arterioles, venules, and precapillary arterioles) are considered to be pathognomonic, but it occurs in only 50 % of cases [34].…”

Section: Discussionmentioning

confidence: 99%

“…This retinopathy is characterized by the presence of cotton wool spots and flame-shaped hemorrhages located only in the end arteriolar retinal circulation around the disc and macula, described in 83–92 % of a series of cases [34]. Purtscher flecken (intraretinal whitening with a clear zone on either side of the retinal arterioles, venules, and precapillary arterioles) are considered to be pathognomonic, but it occurs in only 50 % of cases [34]. All of the above-mentioned funduscopic findings were present in our patient (Fig.…”

Section: Discussionmentioning

confidence: 99%

“…Male sex and pancreatitis as a cause are usually associated with good prognosis [33]; unfortunately, our patient’s visual acuity did not improve significantly. Considering the beneficial effect of high-dose steroid treatment, as documented in a few case reports [36, 37], we administered intravenous methylprednisolone for 3 consecutive days, which appeared to be ineffective as observed in many other cases [1, 33, 34]. …”

Section: Discussionmentioning

confidence: 99%

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Purtscher’s retinopathy and renal cortical necrosis: two rare vaso-occlusive complications in a patient with acute pancreatitis: a case report

et al. 2016

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BackgroundPurtscher’s retinopathy and renal cortical necrosis are two rare vaso-occlusive complications of acute pancreatitis. Purtscher’s retinopathy causes sudden impairment of vision, which was first reported in a patient with head trauma. Subsequently, it was also reported as a complication of acute pancreatitis and few other clinical conditions. Acute pancreatitis also rarely causes renal cortical necrosis leading to acute kidney injury. However, the simultaneous presence of both complications is rarely reported.Case presentationA 20-year-old Bengali man presented to our hospital with a history of acute upper abdominal pain, vomiting, anuria, and disorientation. He was ultimately found to have bilateral complete blindness due to Purtscher’s retinopathy and acute kidney injury due to renal cortical necrosis, as sequelae of acute pancreatitis. He became dialysis-dependent, his vision did not recover, and he died 16 months after diagnosis.ConclusionsThis case highlights Purtscher’s retinopathy and renal cortical necrosis might be considered as a recognized pair complication of acute pancreatitis.

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“…The latter has ill-defined feathery edges and is located superficially over the major retinal vessels. [ 6 ] The fleckens are predominantly distributed in the posterior pole because this region of the retina is supplied by the end vessels and therefore, more susceptible to ischemic insults. On the other hand, there is a plexus of capillaries in the peripheral region of the retina that protects it from ischemia.…”

Section: Discussionmentioning

confidence: 99%

Purtscher-like retinopathy in acute alcoholic pancreatitis

Nema¹,

Ishrat²,

Verma³

et al. 2016

Oman J Ophthalmol

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A 23-year-old man with a history of alcoholism presented with vomiting, fever, and sharp epigastric pain radiating to the back and flanks. He was diagnosed as a case of acute alcoholic pancreatitis on the basis of clinical findings and investigations. On the next day of presentation, he developed sudden bilateral visual loss. His best-corrected visual acuity was finger counting at one-foot distance in both eyes. He had diffuse whitening in the circumpapillary area, haloes around the retinal vessels (Purtscher flecken) and intra-retinal hemorrhages on ophthalmoscopic examination. Optical coherence tomography revealed bilateral macular edema. These findings were characteristic of Purtscher-like retinopathy. The patient showed systemic and visual improvement at 8 weeks follow-up after receiving the conventional treatment for acute alcoholic pancreatitis. This case emphasizes the importance of fundus examination by an ophthalmologist in the diagnosis of this rare under-diagnosed entity.

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Pseudo-rétinopathie de Purtscher : à propos d’un cas et revue de la littérature

Cited by 19 publications

References 31 publications

Purtscher-Like Retinopathy Associated with Synthetic Cannabinoid (Bonzai) Use

Purtscher-Like Retinopathy Associated with Synthetic Cannabinoid (Bonzai) Use

Purtscher’s retinopathy and renal cortical necrosis: two rare vaso-occlusive complications in a patient with acute pancreatitis: a case report

Purtscher-like retinopathy in acute alcoholic pancreatitis

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