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Case Report: Postpartum Purtscher-like Retinopathy
Jennifer L Fairbanks, Rachael E Lloyd1, Sean P Dempsey1
1Surgical & Specialty Clinic, Optometry, St. Cloud VA Hospital, St. Cloud, Minnesota.
Summary
Postpartum Purtscher-like retinopathy, a rare condition, can cause visual disturbances after childbirth. Prompt treatment with oral steroids and intravitreal bevacizumab led to complete resolution and visual recovery in a recent case.
Area of Science:
- Ophthalmology
- Retinal Diseases
- Postpartum Complications
Background:
- Purtscher-like retinopathy is a rare condition characterized by retinal ischemia and visual disturbances.
- It can occur postpartum, sometimes associated with preeclampsia, presenting a diagnostic challenge.
Observation:
- A 30-year-old woman experienced visual disturbance and scotoma seven days postpartum.
- Ophthalmic examination revealed optic disc edema, retinal ischemia, and hemorrhage in the right eye.
Findings:
- Diagnosis of Purtscher-like retinopathy was confirmed.
- Treatment involved oral methylprednisolone and an intravitreal bevacizumab injection.
- Complete resolution of retinopathy and visual improvement were observed within one month.
Implications:
- This case demonstrates that Purtscher-like retinopathy can occur postpartum and effectively treated.
- Early intervention with combined oral and intravitreal therapy may significantly improve visual outcomes.
- Highlights the importance of considering this diagnosis in postpartum patients with visual symptoms.

