Purtscher-like retinopathy associated with cerebro- or cardiovascular surgery

To report the findings in five patients of Purtscher-like retinopathy that developed after cerebro- or cardiovascular surgeries. Three women and two men with a mean age of 56.6 years were studied. They had had cerebro- or cardiovascular disease that was treated by major vascular surgery. Postoperati...

Full description

Saved in:
Bibliographic Details
Published inAmerican journal of ophthalmology case reports Vol. 8; no. C; pp. 62 - 66
Main Authors Oshida, Eiki, Machida, Shigeki, Nishimura, Tomoharu, Sakamoto, Masaki
Format Journal Article
LanguageEnglish
Published United States Elsevier 01.12.2017
Subjects
Cardiovascular surgery
Case report
Cerebrovascular surgery
Purtscher
Purtscher-like retinopathy
Radial peripapillary capillaries
Cardiovascular surgery
Purtscher
Cerebrovascular surgery
Radial peripapillary capillaries
Purtscher-like retinopathy
Online AccessGet full text

Cover

More Information
Summary:To report the findings in five patients of Purtscher-like retinopathy that developed after cerebro- or cardiovascular surgeries. Three women and two men with a mean age of 56.6 years were studied. They had had cerebro- or cardiovascular disease that was treated by major vascular surgery. Postoperatively, all of the patients developed multiple patches of retinal whitening in the area corresponding to the radial peripapillary capillaries in the posterior pole of the eye uni- or bilaterally. In two patients, the optic nerve head was involved which affected their vision severely. Hematological examinations showed hypercoagulable state after the surgeries. The retinal pathologies abated with time. These results indicate that major cardio- or cerebrovascular surgeries can cause Purtscher-like retinopathy. The hypercoagulable state and specific structures of the radial peripapillary capillaries may play a role in pathogenesis of this disease.
ISSN:2451-9936
2451-9936
DOI:10.1016/j.ajoc.2017.10.013