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Spectral domain optical coherence tomography imaging of Purtscher-like retinopathy
Brandon J Lujan1, Patrick A Coady, H Richard McDonald
1*West Coast Retina Medical Group, San Francisco, California; †Division of Vision Science, School of Optometry, University of California, Berkeley, California; and ‡Department of Ophthalmology, California Pacific Medical Center, San Francisco, California.
Purpose:
To report spectral domain optical coherence tomography findings in a patient with Purtscher-like retinopathy.
Methods:
Case report, image analysis, and literature review.
Results:
A 71-year-old woman presented with decreased vision, cotton-wool spots, and a deep whitish polygonal lesion in her left eye, which was hyperreflective on spectral domain optical coherence tomography. She was diagnosed with Purtscher-like retinopathy and later was found to have metastatic pancreatic cancer.
Conclusion:
Purtscher-like retinopathy can occur secondary to malignant pancreatic cancer. Purtscher-flecken can be characterized by cross-sectional and en face spectral domain optical coherence tomography and represent deep capillary ischemia.
