Title: A Rare Case of Purtscher Like Retinopathy Associated with Pancreatitis

AuthorsDr G Pavan, Dr Priya M. Sinhasan, Dr Vijay N

 DOI:  http://dx.doi.org/10.18535/jmscr/v3i11.24

Abstract

A case of 35-year-old patient with acute alcoholic pancreatitis who developed sudden loss of visual acuity is described. The ophthalmoscopic examination revealed diffuse retinal whitening of the posterior pole with con­fluent cotton-wool spots. Fluorescein angiography showed retinal arteriolar occlusion. The findings were compatible with Purtscher-like retinopathy. The case presented here provides an illustration of a rarely recog­nized complication of acute pancreatitis that is well documented in the ophthalmological literature but not commonly recognized by physicians of other specialties. Purtscher-like retinopathy with bilateral loss of vision is a rare and severe complication that may follow acute pancreatitis, outcome depends upon resolution of the pancreatic disease. Steroids help in early visual recovery.

Keywords; Purtscher like retinopathy, Pancreatitis, Retina, Flecken, Cotton wool spots, Steroids.

References

1.      Purtscher O. Nochunbekannte be fundenachschadel trauma. Ber Dtsch OphthalmolGes 1910; 36: 294–301.

2.      Agrawal A, McKibbin M. Purtscher’s retinopathy: epidemiology, clinical features and outcome. Br J Ophthalmol 2007; 91(11): 1456–1459. | Article | PubMed |

3.      Holló G. Frequency of Purtscher’s retinopathy. Br J Ophthalmol 2008;92(8): 1159.

4.      ProençaPina J, Ssi-Yan-Kai K, de Monchy I, Charpentier B, Offret H, Labetoulle M. Purtscher-like retinopathy: case report and review of the literature. J FrOphtalmol 2008; 31(6): 609. | Article | PubMed |

5.      Agrawal A, McKibbin M. Purtscher’s retinopathies: a review.  SurvOphthalmol 2006; 51: 129–136. | Article | PubMed |

6.      Higgins JPT, Green S (eds). Cochrane Handbook for Systematic Reviews of Interventions, Version 5.0.0, 26th Vol John Wiley & Sons: Chichester (UK), 2008; 434–449.

7.      Wang AG, Yen MY, Liu JH. Pathogenesis andneuroprotective treatment in Purtscher’s retinopathy. Jpn JOphthalmol 1988; 42–45.

8.      Eye (Lond). 2013 Jan;27(1):1-13. doi: 10.1038/eye.2012.222. Epub 2012 Nov 23

Corresponding Author

Dr Priya Mallikarjun Sinhasan

Department of Ophthalmology, Room No 128, Vijayanagar Institute of Medical Sciences Ballari

Email: This email address is being protected from spambots. You need JavaScript enabled to view it., 9986326822