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Purtscher-like retinopathy associated with pancreatic adenocarcinoma
H Tabandeh1, P J Rosenfeld, G Alexandrakis
1Bascom Palmer Eye Institute, Department of Ophthalmology, University of Miami School of Medicine, Florida 33136, USA.
Purpose:
To investigate a case of Purtscher-like retinopathy that occurred in association with pancreatic adenocarcinoma.
Method:
Case report.
Results:
A 63-year-old woman presented with multiple gray patches in the central vision of both eyes. Visual acuity was 20/20 in both eyes. Funduscopy showed large peripapillary yellow-white patches within the superficial retina and small superficial retinal hemorrhages in both eyes. The patient subsequently had abdominal pain. Computed tomography of the abdomen demonstrated a large pancreatic mass with extension into the liver. Histologic examination of a percutaneous needle biopsy specimen showed mucinous pancreatic adenocarcinoma.
Conclusion:
Pancreatic adenocarcinoma should be added to the list of systemic diseases that can be associated with Purtscher-like retinopathy.