Purtscher-like retinopathy with serous macular detachment in pre-eclampsia

Erol, Yasemin Özdamar; İnanç, Merve

doi:10.1093/omcr/omx086

Cited by 4 publications

(5 citation statements)

References 4 publications

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“…Other possible causes of PLR include various conditions and diseases, such as hemolytic uremic syndrome (HUS) [ 9 ] and hemolysis, elevated liver enzymes, and low platelets (HELLP) syndrome [ 10 ]. Other, rarer causes of PLR include pre-eclampsia, [ 11 ] neoplastic diseases [ 12 , 13 ], and viral infections such as COVID-19 [ 14 ], influenza [ 15 ], or dengue [ 16 ]. PLR following childbirth [ 17 ] or as a rare complication of retrobulbar anesthesia [ 18 ] or a result of the Valsalva maneuver [ 19 ] has also been reported in the literature.…”

Section: Discussionmentioning

confidence: 99%

Purtscher-like Retinopathy in a Patient with Systemic Sclerosis: A Case Report and Narrative Review

Pieklarz

Gińdzieńska-Sieśkiewicz

Zawadzka

et al. 2023

Biomedicines

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Purtscher-like retinopathy (PLR) is an uncommon occlusive microangiopathy associated with various systemic conditions. We report a case of PLR related to severe progressive systemic sclerosis (SSc), an autoimmune disease characterized by widespread angiopathy and fibrosis, in a 44-year-old Caucasian male diagnosed with early diffuse cutaneous systemic sclerosis (dSSc). Upon ophthalmological examination, pathognomonic fundoscopy abnormalities were found. Spectral domain optical coherence tomography (SD-OCT), angio-OCT, and visual field results are documented at initial diagnosis and follow-up visits. The detailed ophthalmological assessment is juxtaposed with rheumatological evaluation and treatment. Current literature on probable pathophysiological mechanisms is reviewed in accordance with the described case. The PLR seems to be connected to severe SSc-related angiopathy initiated by capillary endothelial damage, with ultimate arteriolar precapillary occlusion in the inner retinal layer. Although this is not routinely recommended, we suggest that ophthalmological examinations may be advantageous in patients with SSc, as serious eye pathology may be present despite the lack of symptoms reported by the patient. Patients with PLR require a differential diagnosis and regular follow-up. Proper treatment of the underlying disease may have beneficial effects on the natural course of PLR.

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Section: Discussionmentioning

confidence: 99%

Purtscher-like Retinopathy in a Patient with Systemic Sclerosis: A Case Report and Narrative Review

Pieklarz

Gińdzieńska-Sieśkiewicz

Zawadzka

et al. 2023

Biomedicines

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“…9 Another report by Ozdamar Erol et al described the association of Purtscher-like retinopathy and serous macular detachment in a case of preeclampsia. 10 The visual outcomes may vary, though retinal lesions resolve completely over a period of time. Management should aim at the treatment of underlying systemic conditions.…”

Section: Discussionmentioning

confidence: 99%

“…Another report by Ozdamar Erol et al described the association of Purtscher-like retinopathy and serous macular detachment in a case of preeclampsia. 10 …”

Section: Discussionmentioning

confidence: 99%

Purtscher-like retinopathy with serous macular detachment in a case of acute pancreatitis: A case report

Sharma,

Parajuli,

Karki

et al. 2023

SAGE Open Medical Case Reports

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A 28-year-old male hospitalized with a diagnosis of acute pancreatitis presented with sudden onset of blurred vision in both eyes after 48 h of admission. Visual acuity was counting fingers in both eyes. Fundus examination revealed multiple cotton wool spots and intraretinal hemorrhages typical of Purtscher’s retinopathy. Optical coherence tomography macula showed serous macular detachment. In 8 weeks follow-up, visual acuity improved to 6/18 oculus dexter (OD) and 6/60 oculus sinister (OS) with resolution of fundus lesions and resorbed subretinal fluid. Purtscher-like retinopathy, though rare should be considered as a differential in all cases with vision loss in acute pancreatitis. This particular case highlights the significance of a thorough examination of the fundus by an ophthalmologist in identifying this infrequent condition that is often overlooked.

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“…Visual changes have been reported in 25 % of patients with preeclampsia. Although most of these changes are transient, some rare sight-threatening eye conditions have been linked to preeclampsia namely Purtscher-like retinopathy [ 7 , 12 , 13 ]. Patients with Purtscher-like retinopathy usually present within the first 48 h postpartum [ 14 ].…”

Section: Discussionmentioning

confidence: 99%

Bilateral Purtscher-like retinopathy: A case report in a patient with pre-eclampsia and post intrauterine fetal demise

Aldhefeery,

Aldhafiri,

Fathy

et al. 2023

International Journal of Surgery Case Reports

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Purtscher-like retinopathy with serous macular detachment in pre-eclampsia

Abstract: Purtscher-like retinopathy has been rarely described during postpartum period in patients with pre-eclampsia. We present an unusual combination of serous macular detachment coexisting with Purtscher-like retinopathy as a complication of pre-eclampsia during postpartum period.

Cited by 4 publications

References 4 publications

Purtscher-like Retinopathy in a Patient with Systemic Sclerosis: A Case Report and Narrative Review

Purtscher-like Retinopathy in a Patient with Systemic Sclerosis: A Case Report and Narrative Review

Purtscher-like retinopathy with serous macular detachment in a case of acute pancreatitis: A case report

Bilateral Purtscher-like retinopathy: A case report in a patient with pre-eclampsia and post intrauterine fetal demise

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