Purtscher-like retinopathy presented a honeycomb-like pattern in optical coherence topography angiography
Abstract Background To report a case of Purtscher-like retinopathy (PUR) and the optical coherence tomography (OCT) and OCT angiography (OCT-A) findings before and after treatment. Case presentation A 65-year-old male presented with acute onset of vision loss for 2 weeks. Fundus examination revealed...
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| Format: | Article |
| Language: | English |
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BMC
2019-11-01
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| Series: | BMC Ophthalmology |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s12886-019-1233-8 |
| _version_ | 1818258810335133696 |
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| author | Bing Li Donghui Li Youxin Chen |
| author_facet | Bing Li Donghui Li Youxin Chen |
| author_sort | Bing Li |
| collection | DOAJ |
| description | Abstract Background To report a case of Purtscher-like retinopathy (PUR) and the optical coherence tomography (OCT) and OCT angiography (OCT-A) findings before and after treatment. Case presentation A 65-year-old male presented with acute onset of vision loss for 2 weeks. Fundus examination revealed cotton-wool spots, retinal haemorrhage, and Purtscher flecken spread around the optic disc in the right eye. He was diagnosed with Purtscher-like retinopathy because he lacked any traumatic medical history. OCT presented some band-like hyperreflective lesions at the inner nuclear layer, which are indicative of paracentral acute middle maculopathy (PAMM). OCT-A revealed apparent reduction in blood flow signal at the deep retina and choriocapillaris layers with a honeycomb-like hypointense signal pattern. After 3 months of follow-up, OCT revealed resolution of retinal oedema, but PAMM lesions remained visible. Based on OCT-A, the honeycomb-like pattern turned into a homogeneous reduction in blood flow with small patches of hypointense signal areas in the choriocapillaris. Conclusion This case presented a new OCT-A sign in PUR with a honeycomb-like hypointense signal at the choriocapillaris layer, indicating the involvement and ischaemia of the choroid during the pathological process. |
| first_indexed | 2024-12-12T18:05:27Z |
| format | Article |
| id | doaj.art-8b9f970b30b148aeb12f0d9330cc72c9 |
| institution | Directory Open Access Journal |
| issn | 1471-2415 |
| language | English |
| last_indexed | 2024-12-12T18:05:27Z |
| publishDate | 2019-11-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Ophthalmology |
| spelling | doaj.art-8b9f970b30b148aeb12f0d9330cc72c92022-12-22T00:16:30ZengBMCBMC Ophthalmology1471-24152019-11-011911410.1186/s12886-019-1233-8Purtscher-like retinopathy presented a honeycomb-like pattern in optical coherence topography angiographyBing Li0Donghui Li1Youxin Chen2Department of Ophthalmology, Peking Union Medical College Hospital, Key Lab of Ocular Fundus Diseases, Chinese Academy of Medical Sciences & Peking Union Medical CollegeDepartment of Ophthalmology, Peking Union Medical College Hospital, Key Lab of Ocular Fundus Diseases, Chinese Academy of Medical Sciences & Peking Union Medical CollegeDepartment of Ophthalmology, Peking Union Medical College Hospital, Key Lab of Ocular Fundus Diseases, Chinese Academy of Medical Sciences & Peking Union Medical CollegeAbstract Background To report a case of Purtscher-like retinopathy (PUR) and the optical coherence tomography (OCT) and OCT angiography (OCT-A) findings before and after treatment. Case presentation A 65-year-old male presented with acute onset of vision loss for 2 weeks. Fundus examination revealed cotton-wool spots, retinal haemorrhage, and Purtscher flecken spread around the optic disc in the right eye. He was diagnosed with Purtscher-like retinopathy because he lacked any traumatic medical history. OCT presented some band-like hyperreflective lesions at the inner nuclear layer, which are indicative of paracentral acute middle maculopathy (PAMM). OCT-A revealed apparent reduction in blood flow signal at the deep retina and choriocapillaris layers with a honeycomb-like hypointense signal pattern. After 3 months of follow-up, OCT revealed resolution of retinal oedema, but PAMM lesions remained visible. Based on OCT-A, the honeycomb-like pattern turned into a homogeneous reduction in blood flow with small patches of hypointense signal areas in the choriocapillaris. Conclusion This case presented a new OCT-A sign in PUR with a honeycomb-like hypointense signal at the choriocapillaris layer, indicating the involvement and ischaemia of the choroid during the pathological process.http://link.springer.com/article/10.1186/s12886-019-1233-8Purtscher-like retinopathyFundus fluorescein angiographyOptical coherence topography angiography; optical coherence topography |
| spellingShingle | Bing Li Donghui Li Youxin Chen Purtscher-like retinopathy presented a honeycomb-like pattern in optical coherence topography angiography BMC Ophthalmology Purtscher-like retinopathy Fundus fluorescein angiography Optical coherence topography angiography; optical coherence topography |
| title | Purtscher-like retinopathy presented a honeycomb-like pattern in optical coherence topography angiography |
| title_full | Purtscher-like retinopathy presented a honeycomb-like pattern in optical coherence topography angiography |
| title_fullStr | Purtscher-like retinopathy presented a honeycomb-like pattern in optical coherence topography angiography |
| title_full_unstemmed | Purtscher-like retinopathy presented a honeycomb-like pattern in optical coherence topography angiography |
| title_short | Purtscher-like retinopathy presented a honeycomb-like pattern in optical coherence topography angiography |
| title_sort | purtscher like retinopathy presented a honeycomb like pattern in optical coherence topography angiography |
| topic | Purtscher-like retinopathy Fundus fluorescein angiography Optical coherence topography angiography; optical coherence topography |
| url | http://link.springer.com/article/10.1186/s12886-019-1233-8 |
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