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OPHTHALMIC IMAGE
Year : 2022  |  Volume : 2  |  Issue : 1  |  Page : 327

Bilateral Purtscher retinopathy in a child


Department of Ophthalmology, Jawaharlal Institute of Post Graduate Medical Education and Research, Puducherry, India

Date of Web Publication07-Jan-2022

Correspondence Address:
Dr. Sandip Sarkar
Department of Ophthalmology, Jawaharlal Institute of Post Graduate Medical Education and Research, Gorimedu, Puducherry - 605 006
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijo.IJO_1040_21

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How to cite this article:
Deb AK, Chavan P, Sarkar S, Gokhale T, Jacob N. Bilateral Purtscher retinopathy in a child. Indian J Ophthalmol Case Rep 2022;2:327

How to cite this URL:
Deb AK, Chavan P, Sarkar S, Gokhale T, Jacob N. Bilateral Purtscher retinopathy in a child. Indian J Ophthalmol Case Rep [serial online] 2022 [cited 2022 Jan 22];2:327. Available from: https://www.ijoreports.in/text.asp?2022/2/1/327/334850



Purtscher's retinopathy is a hemorrhagic and occlusive vasculopathy seen following head or chest trauma.[1],[2] A 6-year-old girl presented with sudden onset painless diminution of vision in both eyes (OU) following compressive chest trauma after a fall from the swing three days ago. Examination findings included subcutaneous small petechial hemorrhages over the neck and face; bilateral subconjunctival hemorrhages [Figure 1]; OU best-corrected visual acuity of 20/1200; bilateral multiple areas of retinal whitening (Purtscher fleckens), pseudo-cherry red spot, cotton wool spots, and superficial retinal hemorrhages [Figure 2]. All investigations to rule out hematological and immunological etiologies for Purtscher-like retinopathy were normal. Only few cases of Purtscher and Purtscher-like retinopathy in children have been reported in the literature so far. The etiologies in these cases were nephrotic syndrome, hemolytic uremic syndrome, battered infant syndrome, and rarely traffic accident with chest compression.[3] This case is also a rare incidence of bilateral Purtscher retinopathy in a child following chest compression.
Figure 1: Clinical photograph showing subconjunctival hemorrhages in both the eyes and subcutaneous petechial hemorrhage in the face

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Figure 2: Fundus images (a and b) showing Purtscher flecken, retinal hemorrhages, pseudo cherry red spot at the macula in both the eyes

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Declaration of patient consent

The authors certify that they have obtained all appropriate patient consent forms. In the form the patient(s) has/have given his/her/their consent for his/her/their images and other clinical Declaration of patient consent information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
  References Top

1.
Ahir N, Syal E, Hans T, Kaur G. Bilateral Purtscher's Retinopathy: A Case Report. The Official Scientific Journal of Delhi Ophthalmological Society 2016;27:30-2.  Back to cited text no. 1
    
2.
Massa R, Vale C, Macedo M, Furtado MJ, Gomes M, Lume M, et al. Purtscher-like retinopathy. Case Rep Ophthalmol Med 2015;2015:421329.  Back to cited text no. 2
    
3.
Miguel AI, Henriques F, Azevedo LF, Loureiro AJ, Maberley DA. Systematic review of Purtscher's and Purtscher-like retinopathies. Eye (Lond) 2013;27:1-13.  Back to cited text no. 3
    


    Figures

  [Figure 1], [Figure 2]



 

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