Purtscher-Like Retinopathy in a Young Male With Renal Failure Following Bodybuilding Supplement Overuse: A Case...

Purtscher-like retinopathy is a rare microvascular retinal disorder characterized by sudden visual loss and distinctive fundoscopic findings, often associated with systemic vascular insults. We report a 31-year-old male presenting with bilateral sudden blurred vision, hypertensive crisis, and renal failure following excessive intake of anabolic steroids, amino acids, and creatine supplements. Fundoscopy revealed Purtscher flecken, cotton-wool spots, and intraretinal hemorrhages, consistent with Purtscher-like retinopathy. Spectral-domain OCT demonstrated inner retinal hyperreflectivity and fluid accumulation. The patient's systemic condition was managed with antihypertensive therapy and hemodialysis; however, he left prematurely, limiting follow-up. This case underscores the importance of recognizing ocular findings as early indicators of systemic vascular compromise in young patients with anabolic steroid and supplement abuse, highlighting the systemic risks of such overuse and the critical role of early diagnosis and interdisciplinary management.