Purtscher's retinopathy after fracture dislocation of shoulder joint

Purtscher’s retinopathy – case report and literature review

“…A considerable number of PR cases refer to retinopathies that develop after traffic accidents [6][7][8][9][10][11][12][13].…”

Purtscher-like retinopathy – A rare complication of acute myocardial infarction and a review of the literature

“…While PUR typically affects both eyes, there have been a number of reports of unilateral PUR 3, 4, 5, 6, 7, 8. Causes of unilateral PUR have included trauma,5, 9, 10, 11 retrobulbar anesthesia 7, 12, 13, 14 and valsalva maneuver associated with weight lifting 15 . Relative afferent pupillary defects have been reported in unilateral disease 4 as well as bilateral disease, 16 which is indicative of the potential asymmetry of this condition.…”

“…This results in platelet aggregation, thrombosis, vascular obstruction and the clinical picture of PUR 24 . Interestingly, there was an isolated case report of PUR following dislocation and an avulsion fracture of the shoulder joint, 10 which does not cause fat embolism and indicates that other mechanisms must be in play.…”

“…They may occasionally be localized to the capillary bed of the retina in the region of the cotton-wool spots 14, 46. They are also often associated with varying degrees of macular ischemia10, 31, 47 and can be asymmetrical between 2 eyes of the same patient 48 . Later stages of the angiogram may show macular edema 9, 39.…”

A Picture Worth Remembering: Posttraumatic Purtscher's Retinopathy in a Child

“…Charuta Joshi, MD, Paul Shuckett, MD, and Frank Stockl, MD Purtscher's retinopathy is frequently described and reviewed in the ophthalmology literature but is rarely described in the neurology literature, although neurologists are routinely involved in the care of head and chest trauma patients with abnormal neurologic and funduscopic findings. The case of a 6-year-old girl fat embolism, long-bone fractures, orthopedic surgery, collagen vascular disorders, acute pancreatitis, compression cyanosis, safety-belt injury, childbirth, jugular vein wounds, and so forth, [6][7][8][9][10] and retinopathy seen in these cases in the absence of head and chest trauma is called Purtscher-like retinopathy. 11 The diagnosis is made chiefly on clinical grounds.…”