Purtscher retinopathy (case report)
Kolesnikova L.N., Batyrbekova F.H.

Russian National Research Medical University named after N.I. Pirogov, Moscow

Purtscher's retinopathy is a disease characterized by changes of the fundus (white «cotton wool» spots, retinal hemorrhages, optic disc edema and Purtschner spots in the form of ischemic areas of inner retinal whitenening) associated with impaired visual acuity. This condition is not caused by direct mechanical injury of the eyes. Most often it is associated with compression injuries, acute pancreatitis, renal failure, preeclampsia, childbirth, crush injury and other conditions.
Acute pancreatitis is a disease that activates a system of complement through increasing the content of enzymes such as trypsin in blood. This, in turn, is accompanied by hypercoagulability and the formation of leukocyte aggregants leading to embolization of retinal precapillary arterioles and the development of Purtsher's retinopathy.
This article presents a clinical case of Purtscher's retinopathy in a patient with acute pancreatitis who was treated in a multidisciplinary hospital. Currently, there is no evidence based effective treatment for this disease. Therefore, knowledge of the main ophthalmoscopic manifestations of Purtscher's retinopathy will allow the doctor to set the correct diagnosis and choose the tactics of patient’s management without medication errors.

Key words: retina / optic disc edema / cotton wool spots / retinal hemorrhages / ischemia / clinical case / acute pancreatitis / acute vision loss.
For citation: Kolesnikova L.N., Batyrbekova F.H. Purtscher retinopathy (case report) // RMJ. Clinical ophthalmology. 2017. № 4. P.248 –251.