Literature DB >> 18522297

[Purtscher-like retinopathy--a rare complication of acute pancreatitis].

B Krahulec1, J Stefanicková, S Hlinst'áková, E Hirnerová, V Kosmálová, J Hasa, K Pesko, P Strmen, A Dukát.   

Abstract

The article reports the case of a 27-year old woman hospitalised in the internal medicine ward for acute pancreatitis after eating fat food and drinking alcohol. In addition to acute pancreatitis, the patient complained of vision problems. The ophthalmologist detected bilateral occurrence of large whitish nidi located primarily around the optic disc, intraretinal hemorrhage and a massive retinal oedema in the central field and diagnosed Purtscher-like retinopathy. After a month of treatment of acute pancreatitis, the clinical picture improved, the patient's vision sharpness improved and the laboratory parametres returned to normal. The finding on the ocular fundus also improved. Even though similar cases are rare, more patients with acute pancreatitis should be checked for eventual vision disorders. Ocular fundus examination should be included in the set of tests performed for acute pancreatitis, similarly to the practice in arterial hypertension or diabetes mellitus patients.

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Year:  2008        PMID: 18522297

Source DB:  PubMed          Journal:  Vnitr Lek        ISSN: 0042-773X


  3 in total

Review 1.  Systematic review of Purtscher's and Purtscher-like retinopathies.

Authors:  A I M Miguel; F Henriques; L F R Azevedo; A J R Loureiro; D A L Maberley
Journal:  Eye (Lond)       Date:  2012-11-23       Impact factor: 3.775

2.  Purtscher's retinopathy and renal cortical necrosis: two rare vaso-occlusive complications in a patient with acute pancreatitis: a case report.

Authors:  Wasim Md Mohosin Ul Haque; Mehruba Alam Ananna; Hasna Fahmima Haque; Muhammad Abdur Rahim; Tabassum Samad; Sarwar Iqbal
Journal:  J Med Case Rep       Date:  2016-11-15

3.  Reversal of threatening blindness after initiation of eculizumab in Purtscher-like retinopathy secondary to atypical hemolytic uremic syndrome.

Authors:  J E Ramos de Carvalho; R O Schlingemann; M Oranje; F J Bemelman; M J van Schooneveld
Journal:  Int Ophthalmol       Date:  2017-03-08       Impact factor: 2.031

  3 in total

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