ANGULAR SIGN OF HENLE FIBER LAYER HYPERREFLECTIVITY IN PURTSCHER AND PURTSCHER-LIKE RETINOPATHY

Angular sign of Henle fiber layer hyperreflectivity is a marker of Henle fibre layer ischemia. Our aim is to describe angular sign of Henle fiber layer hyperreflectivity as a novel optical coherence tomography sign in Purtscher and Purtscher-like retinopathy.

Here, we present three cases, one classical Purtscher retinopathy and two Purtscher-like retinopathy who had angular sign of Henle fiber layer hyperreflectivity on spectral domain optical coherence tomography imaging.

Modalities such as color fundus photography, cross-sectional optical coherence tomography, optical coherence tomography angiography, and fluorescein angiography were used.

Presence of angular sign of Henle fiber layer hyperreflectivity in Purtscher retinopathy and Purtscher-like retinopathy points toward a deep capillary plexus insult and has prognostic implications.