| CASE REPORT |
|
| Year : 2016 | Volume
: 9
| Issue : 2 | Page : 110-112 |
|
|
Purtscher-like retinopathy in acute alcoholic pancreatitis
Nitin Nema1, Saba Ishrat1, Abha Verma1, Manoj Kela2
1 Department of Ophthalmology, Sri Aurobindo Medical College and PG Institute, Indore, Madhya Pradesh, India
2 Department of Surgery, Sri Aurobindo Medical College and PG Institute, Indore, Madhya Pradesh, India
Correspondence Address:
Nitin Nema
Department of Ophthalmology, Sri Aurobindo Medical College and PG Institute, Indore, Madhya Pradesh
India
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/0974-620X.184531
|
|
|
A 23-year-old man with a history of alcoholism presented with vomiting, fever, and sharp epigastric pain radiating to the back and flanks. He was diagnosed as a case of acute alcoholic pancreatitis on the basis of clinical findings and investigations. On the next day of presentation, he developed sudden bilateral visual loss. His best-corrected visual acuity was finger counting at one-foot distance in both eyes. He had diffuse whitening in the circumpapillary area, haloes around the retinal vessels (Purtscher flecken) and intra-retinal hemorrhages on ophthalmoscopic examination. Optical coherence tomography revealed bilateral macular edema. These findings were characteristic of Purtscher-like retinopathy. The patient showed systemic and visual improvement at 8 weeks follow-up after receiving the conventional treatment for acute alcoholic pancreatitis. This case emphasizes the importance of fundus examination by an ophthalmologist in the diagnosis of this rare under-diagnosed entity. |
|
|
|
| [FULL TEXT] [PDF]* |
|
 |
|
