Purtscher-like retinopathy in a patient with lupus: a case report

Fundus photographs of (a, b) the patient's right eye showingPurtscher flecken (closed arrows), cotton wool spots (open arrow), and a pseudo cherry-red spot (arrowhead); and (c, d) thepatient's left eye showing no unusual findings Urgent optical coherence tomography of the right eye showed...

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Bibliographic Details
Published in:Hong Kong medical journal = Xianggang yi xue za zhi 2022-02, Vol.28 (1), p.79
Main Authors: Cheng, Cynthia KL, Kenneth KH Lai, Kuk, Andrew KT, Lai, Tracy HT, Wang, Sarah T, Ko, Simon TC
Format: Article
Language:chi ; eng
Subjects:
Atrophy
Cotton
Disease
Edema
Hospitals
Lupus
Medical imaging
Nervous system
Ophthalmology
Optics
Patients
Tomography
Veins & arteries
Wool
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Summary:Fundus photographs of (a, b) the patient's right eye showingPurtscher flecken (closed arrows), cotton wool spots (open arrow), and a pseudo cherry-red spot (arrowhead); and (c, d) thepatient's left eye showing no unusual findings Urgent optical coherence tomography of the right eye showed hyper-reflectivity in the retinal nerve fibre layer and areas of retinal thickening. Same patient. (a-i) Fundus fluorescein angiography images of the patient's right eye showing superior branch retinal artery occlusion (white arrow) and areas of capillary non-perfusion (blue arrowhead). (j) optical coherence tomography of the patient's right eye showing hyper-reflectivity in the retinal nerve fibre layer (arrow) and areas of retinal thickening (arrowhead) Discussion At least one third of patients with SLE have ophthalmological involvement. Lupus retinopathy can result in severe complications such as neovascularisation, macula oedema and retinal vessel occlusion resulting in vision loss.4 It is known that patients with high S
ISSN:1024-2708
2226-8707
DOI:10.12809/hkmj208960