Purtscher-like retinopathy following valsalva maneuver effect: case report
<p>Abstract</p> <p>Introduction</p> <p>Purtscher's retinopathy is a rare condition that is noted in cases related to various types of trauma. The characteristic finding in the fundus is the presence of multiple Purtscher flecken. Purtscher-like retinopathy has a si...
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2011-08-01
|
| Series: | Journal of Medical Case Reports |
| Online Access: | http://www.jmedicalcasereports.com/content/5/1/338 |
| _version_ | 1818261118342135808 |
|---|---|
| author | Azhany Yaakub Nor-Masniwati Saidin Zunaina Embong |
| author_facet | Azhany Yaakub Nor-Masniwati Saidin Zunaina Embong |
| author_sort | Azhany Yaakub |
| collection | DOAJ |
| description | <p>Abstract</p> <p>Introduction</p> <p>Purtscher's retinopathy is a rare condition that is noted in cases related to various types of trauma. The characteristic finding in the fundus is the presence of multiple Purtscher flecken. Purtscher-like retinopathy has a similar presentation in the fundus, but without an association with trauma.</p> <p>Case presentation</p> <p>A 43-year old Malay man presented with a sudden onset of central foggy vision in the left eye after holding his breath for two minutes while catching a falling object. It was not associated with floaters, flashes of light, or head trauma. His vision in the right eye was 6/6, and in his left eye it was finger counting. He had bilateral temporal sub-conjunctival hemorrhages. An examination of his left fundus revealed multiple white cotton wool spots and dot-blot retinal hemorrhages with diffuse retinal edema at the posterior pole. His right fundus was noted to have only mild temporal peri-papillary edema associated with a few dot-blot hemorrhages. Fundus fluorescein angiography showed good arterial perfusion and no evidence of leaking or neo-vascularization. A diagnosis of Purtscher-like retinopathy was made, and the patient was treated with indomethacin tablets for six weeks. At his six-week follow-up examination, his left eye visual acuity had improved to 6/12. His bilateral sub-conjunctival hemorrhage had resolved. His left fundus showed residual multiple cotton wool spots and reduced retinal edema.</p> <p>Conclusions</p> <p>Treatment with non-steroidal anti-inflammatory drugs seems to be effective in reducing edema in patients with Purtscher-like retinopathy.</p> |
| first_indexed | 2024-12-12T18:42:09Z |
| format | Article |
| id | doaj.art-bd844a9c3cdc42c0b52ab6bf6715528e |
| institution | Directory Open Access Journal |
| issn | 1752-1947 |
| language | English |
| last_indexed | 2024-12-12T18:42:09Z |
| publishDate | 2011-08-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Medical Case Reports |
| spelling | doaj.art-bd844a9c3cdc42c0b52ab6bf6715528e2022-12-22T00:15:37ZengBMCJournal of Medical Case Reports1752-19472011-08-015133810.1186/1752-1947-5-338Purtscher-like retinopathy following valsalva maneuver effect: case reportAzhany YaakubNor-Masniwati SaidinZunaina Embong<p>Abstract</p> <p>Introduction</p> <p>Purtscher's retinopathy is a rare condition that is noted in cases related to various types of trauma. The characteristic finding in the fundus is the presence of multiple Purtscher flecken. Purtscher-like retinopathy has a similar presentation in the fundus, but without an association with trauma.</p> <p>Case presentation</p> <p>A 43-year old Malay man presented with a sudden onset of central foggy vision in the left eye after holding his breath for two minutes while catching a falling object. It was not associated with floaters, flashes of light, or head trauma. His vision in the right eye was 6/6, and in his left eye it was finger counting. He had bilateral temporal sub-conjunctival hemorrhages. An examination of his left fundus revealed multiple white cotton wool spots and dot-blot retinal hemorrhages with diffuse retinal edema at the posterior pole. His right fundus was noted to have only mild temporal peri-papillary edema associated with a few dot-blot hemorrhages. Fundus fluorescein angiography showed good arterial perfusion and no evidence of leaking or neo-vascularization. A diagnosis of Purtscher-like retinopathy was made, and the patient was treated with indomethacin tablets for six weeks. At his six-week follow-up examination, his left eye visual acuity had improved to 6/12. His bilateral sub-conjunctival hemorrhage had resolved. His left fundus showed residual multiple cotton wool spots and reduced retinal edema.</p> <p>Conclusions</p> <p>Treatment with non-steroidal anti-inflammatory drugs seems to be effective in reducing edema in patients with Purtscher-like retinopathy.</p>http://www.jmedicalcasereports.com/content/5/1/338 |
| spellingShingle | Azhany Yaakub Nor-Masniwati Saidin Zunaina Embong Purtscher-like retinopathy following valsalva maneuver effect: case report Journal of Medical Case Reports |
| title | Purtscher-like retinopathy following valsalva maneuver effect: case report |
| title_full | Purtscher-like retinopathy following valsalva maneuver effect: case report |
| title_fullStr | Purtscher-like retinopathy following valsalva maneuver effect: case report |
| title_full_unstemmed | Purtscher-like retinopathy following valsalva maneuver effect: case report |
| title_short | Purtscher-like retinopathy following valsalva maneuver effect: case report |
| title_sort | purtscher like retinopathy following valsalva maneuver effect case report |
| url | http://www.jmedicalcasereports.com/content/5/1/338 |
| work_keys_str_mv | AT azhanyyaakub purtscherlikeretinopathyfollowingvalsalvamaneuvereffectcasereport AT normasniwatisaidin purtscherlikeretinopathyfollowingvalsalvamaneuvereffectcasereport AT zunainaembong purtscherlikeretinopathyfollowingvalsalvamaneuvereffectcasereport |