Abstract
Purtscher retinopathy is a microangiopathy characterized by loss of vision within hours to days after an indirect ocular injury, typically associated with cranial trauma or thoracic compression (Miguel et al. 2013). The incidence is an average of 2.4 persons per million per year (Medeiros et al. 2009; Xia et al. 2017). It was first described by Otmar Purtscher in 1910 in patients after severe head trauma with retinal findings as cotton-wool spots, retinal hemorrhage, non-capillary perfusion areas, and optic disk swelling (Fig. 7.1) (Buckley and James 1996; Agrawal and McKibbin 2007). “Purtscher-like retinopathy” is the term used to describe similar retinal signs without history of trauma.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Agrawal A, McKibbin M. Purtscher’s retinopathy: epidemiology, clinical features and outcome. Br J Ophthalmol. 2007;91:1456–9.
Behrens BW, Scheurer G, Schroer H. Pathogenesis of Purtscher’s retinopathy an experimental study. Graefes Arch Clin Exp Ophthalmol. 1992;230:286–91.
Buckley SA, James B. Purtscher’s retinopathy. Postgrad Med J. 1996;72:409–12.
Eliott D, Papakostas TD. Traumatic chorioretinopathies. In: Ryan’s retina. Edinburgh: Elsevier; 2018.
Guerra RLL, Silva ISP, Marback EF, Maia Junior OO, Marback RL. Fundus autofluorescence in blunt ocular trauma. Arq Bras Oftalmol. 2014;77(3):139–42.
Harrison TJ, Abassi CO, Khraishi TA. Purtscher retinopathy: an alternative etiology supported by computer fluid dynamic simulations. Invest Ophthalmol Vis Sci. 2011;52(11):8102–7.
Kumar V, Tomar A. Optical coherence tomography angiography imaging of Purtscher retinopathy. Can J Ophthalmol. 2017;52:e201–3.
McCannel CA, Atebara NH, Kim SJ, Leonard BC, Rosen RB, Sarraf D, Cunningham E, Holder GE. Other retinal vascular diseases. Am Acad Ophthalmol. 2017;7:133–4.
Medeiros HA, Medeiros JA, Caliari LC, Silva J. Purtscher’s and Purtscher-like retinopathies. Rev Bras Oftalmol. 2009;68(2):114–9.
Miguel AI, Henriques F, Azevedo LF, Loureiro AJ, Maberley DA. Systematic review of Purtscher’s and Purtscher-like retinopathies. Eye (Lond). 2013;27(1):1–13.
Xia D, Chen X, Zhou Q, Xiao S, Yu Y, Wang Y, Du G, Huang H, Zhang W, Chen Y. Efficacy of Purtscher’s retinopathy treatments: a systematic review. Curr Eye Res. 2017;42(6):908–17.
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2020 Springer Nature Singapore Pte Ltd.
About this chapter
Cite this chapter
Ribeiro, D.F., Rodrigues, E.B., Guerra, R.L.L., Cotrim, C.C. (2020). Purtscher Retinopathy. In: Rodrigues, E., Meyer, C., Tomazoni, E. (eds) Trauma and Miscellaneous Disorders in Retina. Retina Atlas. Springer, Singapore. https://doi.org/10.1007/978-981-13-8550-6_7
Download citation
DOI: https://doi.org/10.1007/978-981-13-8550-6_7
Published:
Publisher Name: Springer, Singapore
Print ISBN: 978-981-13-8549-0
Online ISBN: 978-981-13-8550-6
eBook Packages: MedicineMedicine (R0)