Purtscher Retinopathy

  • Débora Furuzawa Ribeiro
  • Eduardo Büchele Rodrigues
  • Ricardo Luz Leitão Guerra
  • Carina Costa Cotrim
Part of the Retina Atlas book series (RA)


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.


  1. Agrawal A, McKibbin M. Purtscher’s retinopathy: epidemiology, clinical features and outcome. Br J Ophthalmol. 2007;91:1456–9.CrossRefGoogle Scholar
  2. Behrens BW, Scheurer G, Schroer H. Pathogenesis of Purtscher’s retinopathy an experimental study. Graefes Arch Clin Exp Ophthalmol. 1992;230:286–91.CrossRefGoogle Scholar
  3. Buckley SA, James B. Purtscher’s retinopathy. Postgrad Med J. 1996;72:409–12.CrossRefGoogle Scholar
  4. Eliott D, Papakostas TD. Traumatic chorioretinopathies. In: Ryan’s retina. Edinburgh: Elsevier; 2018.Google Scholar
  5. 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.CrossRefGoogle Scholar
  6. 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.CrossRefGoogle Scholar
  7. Kumar V, Tomar A. Optical coherence tomography angiography imaging of Purtscher retinopathy. Can J Ophthalmol. 2017;52:e201–3.CrossRefGoogle Scholar
  8. 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.Google Scholar
  9. Medeiros HA, Medeiros JA, Caliari LC, Silva J. Purtscher’s and Purtscher-like retinopathies. Rev Bras Oftalmol. 2009;68(2):114–9.CrossRefGoogle Scholar
  10. 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.CrossRefGoogle Scholar
  11. 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.CrossRefGoogle Scholar

Copyright information

© Springer Nature Singapore Pte Ltd. 2020

Authors and Affiliations

  • Débora Furuzawa Ribeiro
    • 1
  • Eduardo Büchele Rodrigues
    • 2
    • 3
  • Ricardo Luz Leitão Guerra
    • 4
  • Carina Costa Cotrim
    • 1
  1. 1.Department of OphthalmologyGovernador Celso Ramos HospitalFlorianópolisBrazil
  2. 2.Department of Ophthalmology and Visual SciencesFederal University of São PauloSão PauloBrazil
  3. 3.Department of OphthalmologySaint Louis University School of MedicineSaint LouisUSA
  4. 4.Department of OphthalmologyClínica de Olho Leitão GuerraSalvadorBrazil

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