Purtscher-like retinopathy preceding acute renal failure
The case is reported of a 61 year-old woman with Purtscher-like retinopathy associated with acute renal failure. Ophthalmic examination, fluorescein-angiography, and optical coherence tomography were consistent with Purtscher-like retinopathy. Ophthalmic symptoms and signs preceded renal failure. Pa...
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Published in | Archivos de la Sociedad Española de Oftalmología (English ed.) Vol. 93; no. 4; pp. 198 - 201 |
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Main Authors | , , , , , , , , , |
Format | Journal Article |
Language | English |
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Elsevier España, S.L.U
01.04.2018
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Abstract | The case is reported of a 61 year-old woman with Purtscher-like retinopathy associated with acute renal failure. Ophthalmic examination, fluorescein-angiography, and optical coherence tomography were consistent with Purtscher-like retinopathy. Ophthalmic symptoms and signs preceded renal failure. Pancreatitis and other systemic diseases were ruled out. The patient developed a neovascular glaucoma.
Purtscher-like retinopathy rarely precedes the associated systemic illness. Early diagnosis based on ophthalmic symptoms may help in the recognition and treatment of the disease, and prevent later complications.
Presentamos el caso de una mujer de 61 años, con una retinopatía de tipo Purtscher asociada a un fallo renal agudo. La exploración oftalmológica, angiografía fluoresceínica y tomografía de coherencia óptica fueron compatibles con una retinopatía de Purtscher-like. Las manifestaciones oculares precedieron al fracaso renal. El estudio sistémico y de laboratorio descartó su asociación con pancreatitis y otras enfermedades sistémicas. Finalmente se complicó con un glaucoma neovascular.
La retinopatía de Purtscher-like rara vez precede a la enfermedad sistémica asociada. El diagnóstico precoz basado en las manifestaciones oftálmicas, podría contribuir al diagnóstico y tratamiento de la enfermedad de base y a la prevención de las posibles complicaciones. |
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AbstractList | The case is reported of a 61 year-old woman with Purtscher-like retinopathy associated with acute renal failure. Ophthalmic examination, fluorescein-angiography, and optical coherence tomography were consistent with Purtscher-like retinopathy. Ophthalmic symptoms and signs preceded renal failure. Pancreatitis and other systemic diseases were ruled out. The patient developed a neovascular glaucoma.
Purtscher-like retinopathy rarely precedes the associated systemic illness. Early diagnosis based on ophthalmic symptoms may help in the recognition and treatment of the disease, and prevent later complications. The case is reported of a 61 year-old woman with Purtscher-like retinopathy associated with acute renal failure. Ophthalmic examination, fluorescein-angiography, and optical coherence tomography were consistent with Purtscher-like retinopathy. Ophthalmic symptoms and signs preceded renal failure. Pancreatitis and other systemic diseases were ruled out. The patient developed a neovascular glaucoma. Purtscher-like retinopathy rarely precedes the associated systemic illness. Early diagnosis based on ophthalmic symptoms may help in the recognition and treatment of the disease, and prevent later complications. Presentamos el caso de una mujer de 61 años, con una retinopatía de tipo Purtscher asociada a un fallo renal agudo. La exploración oftalmológica, angiografía fluoresceínica y tomografía de coherencia óptica fueron compatibles con una retinopatía de Purtscher-like. Las manifestaciones oculares precedieron al fracaso renal. El estudio sistémico y de laboratorio descartó su asociación con pancreatitis y otras enfermedades sistémicas. Finalmente se complicó con un glaucoma neovascular. La retinopatía de Purtscher-like rara vez precede a la enfermedad sistémica asociada. El diagnóstico precoz basado en las manifestaciones oftálmicas, podría contribuir al diagnóstico y tratamiento de la enfermedad de base y a la prevención de las posibles complicaciones. |
Author | Contreras Díaz, M. Sánchez Vicente, J.L. Rueda Rueda, T. Moruno Rodríguez, A. Vizuete Rodríguez, L. Martínez Borrego, A. Molina Socola, F.E. Muñoz Morales, A. López Herrero, F. Castilla Martino, M. |
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Keywords | Neovascular glaucoma Optical coherence tomography Purtscher flecken Retinopatía de Purtscher-like Manchas de Purtscher Fallo renal agudo Tomografía de coherencia óptica Fluorescein-angiography Purtscher-like retinopathy Acute renal failure Glaucoma neovascular Angiografía fluoresceínica |
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SubjectTerms | Acute Kidney Injury - complications Acute renal failure Angiografía fluoresceínica Blindness - complications Fallo renal agudo Female Fluorescein-angiography Glaucoma neovascular Humans Manchas de Purtscher Middle Aged Neovascular glaucoma Optical coherence tomography Purtscher flecken Purtscher-like retinopathy Retinal Diseases - complications Retinopatía de Purtscher-like Tomografía de coherencia óptica |
Title | Purtscher-like retinopathy preceding acute renal failure |
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