Author(s): Aragao, Ricardo Evangelista Marrocos de ; Barreira, Ieda Maria Alexandre ; Carneiro, Gustavo Jose Arruda Mendes ; Pinto, Nayara Queiroz Cardoso ; Oria, Talles Peterson Cavalcante ; Ferreira, Jhonatan de Paula Araujo ; Menezes, Igor Costa
Date: 2017
Origin: Oasisbr
Subject(s): Retina; Pancreatitis; Optic atrophy
Purtscher retinopathy is a unilateral or bilateral visual loss following acute injury to the thorax or head. It is characterized by large cotton-wool spots, hemorrhages, and retinal edema. Vision loss may be permanent due to isquemia of the retina, and optic atrophy. Is thought to be a result of injury-induced complement ativation causing granulocyte aggregation and leukoembolization. Other conditions may active complement and may produce similar fundus appearance including acute pancreatitis, collagen-vascular disease, childbirth, and amniotic fluid embolism. Herein, we describe a patient with bilateral permanent visual loss following diagnosis of acute pancreatitis.
