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Purtscher's Retinopathy Following Long Bone Fracture: A Case Report.
Muzzaffar Mad Isa1, Yaakub Azhany1, Rosnita Alias2
1Department of Ophthalmology and Visual Science, School of Medical Sciences, Universiti Sains Malaysia, Kubang Kerian, MYS.
Purtscher's retinopathy, a rare vision-threatening condition, can occur after trauma like long bone fractures. This case highlights its occurrence after a femur fracture, with full recovery after conservative management.
Area of Science:
- Ophthalmology
- Trauma Medicine
- Retinal Diseases
Background:
- Purtscher's retinopathy is an occlusive retinal microvasculopathy.
- It is associated with traumatic events, including long bone fractures, head injuries, and thoracic compression.
Observation:
- A 27-year-old male presented with sudden, painless vision reduction in his right eye three days after a femur fracture.
- Fundoscopy revealed cotton wool spots and fleckens; OCT confirmed retinal nerve fiber layer lesions.
Findings:
- The patient was diagnosed with unilateral Purtscher's retinopathy.
- Conservative treatment led to complete resolution of fundus lesions and visual acuity recovery to 6/6 within one month.
Implications:
- Ophthalmologic evaluation is critical for post-traumatic visual impairment.
- Early diagnosis and conservative management can lead to favorable outcomes in Purtscher's retinopathy.
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