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Purtscher-like retinopathy after prostate surgery.
Ako Takakura1, Paul J Stewart, Robert N Johnson
1*Department of Ophthalmology, California Pacific Medical Center, San Francisco, California; †West Coast Retina Medical Group, San Francisco, California; and ‡Department of Ophthalmology, Stanford University School of Medicine, Stanford, California.
Retinal Cases & Brief Reports
|November 6, 2014
Summary
A rare case of Purtscher-like retinopathy occurred after a prostatectomy. This condition, typically associated with trauma, presents as retinal whitening and hemorrhages.
Area of Science:
- Ophthalmology
- Surgical Complications
Background:
- Purtscher retinopathy, characterized by retinal whitening, hemorrhages, and disk edema, is typically associated with head trauma.
- Purtscher-like retinopathy has been documented in various conditions, including pancreatitis, chest compression, childbirth, and fat embolism syndrome following fractures or surgery.
Observation:
- This report details a case of Purtscher-like retinopathy following an uncomplicated radical prostatectomy.
- The patient experienced visual disturbances and funduscopic findings consistent with Purtscher-like retinopathy post-surgery.
Findings:
- The case demonstrates Purtscher-like retinopathy as a potential, albeit rare, complication of nonorthopedic surgery.
- The etiology in this context may involve microvascular changes or emboli, distinct from typical traumatic causes.
Implications:
- This case expands the known spectrum of conditions associated with Purtscher-like retinopathy.
- Ophthalmologists and surgeons should consider this rare complication in patients presenting with visual changes after radical prostatectomy.
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