Multimodal imaging and treatment of Purtscher-like retinopathy

Abstract

A 52-year-old patient with multiple cardiovascular risk factors referred for unilateral, acute, and painless visual loss. In the fundoscopic image there was significant papillary inflammation with tortuosity at this level and haemorrhages. Ophthalmological examination showed papillary inflammation, macular oedema, and involvement in retinal inner layers. The control fluorescein angiography and optical coherence tomography angiography showed areas of central and peripheral ischaemia. Given the clinical findings and background of the patient, the diagnosis of Purtscher-like retinopathy was reached and treatment with intravitreal dexamethasone was decided. Purtscher-like retinopathy is a rare entity that occurs in patients with multiple systemic pathologies, but without a traumatic background, which differentiates it from Purstcher's retinopathy. The diagnosis and early intervention are important in the prognosis. There are no therapeutic protocols, but good results have been obtained with intravitreal therapy with dexamethasone.

Keywords: Angiografía por tomografía de coherencia óptica; Manchas de Purtscher; Optical coherence tomography; Optical coherence tomography angiography; Purtscher flecken; Purtscher retinopathy; Purtscher-like retinopathy; Retinopatía de Purtscher; Retinopatía de tipo Purtscher; Tomografía de coherencia óptica.