Purtscher-Like Retinopathy: Optical Coherence Tomography and Visual Field Findings.

Tarek Alasil, Keith Tokuhara, Larry D Bowes, Joseph Fan

Research output: Contribution to journalArticlepeer-review

Abstract

A 30-year-old male presented with decreased vision in the right eye after a recent hospitalization for acute pancreatitis. On presentation, his visual acuity was 20/100 right eye (OD) and 20/20 left eye (OS). The funduscopic examination findings were consistent with Purtscher-like retinopathy (PLR). Cirrus HD-OCT (Spectral Domain Technology, Zeiss) of the right eye showed retinal nerve fiber layer swelling and significant subretinal fluid. Humphrey visual field (Central 24-2) revealed generalized defect on the right and inferior nasal step on the left. During the next 6 months, the patient had improvement in visual acuity (20/30 OD and 20/20 OS) and normalization of optical coherence tomography (OCT) findings. However, the visual field (VF) worsened bilaterally suggesting that the injuries induced by micro-infarctions at the level of the retinal nerve fiber layer (RNFL) were not reversible. To our knowledge, there have been no reports in the literature that compare high-resolution OCT and VF findings in patients with PLR.
Original languageAmerican English
Pages (from-to)1-4
Number of pages4
JournalOphthalmic Surgery Lasers Imaging
Volume41
Issue number3
DOIs
StatePublished - Mar 9 2010

Disciplines

  • Medicine and Health Sciences
  • Optics
  • Medical Biophysics

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