Purtscher’s Retinopathy That Occurred 6 Months Before Acute Pancreatitis

To report Purtscher’s retinopathy in a patient with chronic pancreatitis 6 months before the development of fulminant acute pancreatitis. Observational case report. Review of clinical chart, photographs, fluorescein angiography, and optical coherence tomography. A 45-year-old man with a history of a...

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Bibliographic Details
Published in:American journal of ophthalmology 2006, Vol.141 (1), p.205-207
Main Authors: Sharma, Ashish G., Kazim, Nadia A., Eliott, Dean, Houghton, Odette, Abrams, Gary W.
Format: Article
Language:English
Subjects:
Abdomen
Amylases - blood
Biological and medical sciences
Cholangiopancreatography, Endoscopic Retrograde
Fluorescein Angiography
Gastroenterology. Liver. Pancreas. Abdomen
Hospitals
Humans
Ischemia - blood
Ischemia - diagnosis
Ischemia - etiology
Lipase - blood
Liver. Biliary tract. Portal circulation. Exocrine pancreas
Male
Medical imaging
Medical sciences
Middle Aged
Miscellaneous
Ophthalmology
Other diseases. Semiology
Pancreas
Pancreatitis - diagnosis
Pancreatitis, Chronic - blood
Pancreatitis, Chronic - complications
Pancreatitis, Chronic - diagnosis
Patients
Retinal Diseases - blood
Retinal Diseases - diagnosis
Retinal Diseases - etiology
Retinal Vessels - pathology
Retinopathies
Tomography
Tomography, Optical Coherence
Tomography, X-Ray Computed
Visual Acuity
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Description
Summary:To report Purtscher’s retinopathy in a patient with chronic pancreatitis 6 months before the development of fulminant acute pancreatitis. Observational case report. Review of clinical chart, photographs, fluorescein angiography, and optical coherence tomography. A 45-year-old man with a history of alcohol abuse with a 3-day history of decreased vision in both eyes was examined. Diffuse retinal whitening and intraretinal hemorrhages that were consistent with Purtscher’s retinopathy were present in both eyes. Serum amylase and lipase levels were normal. Six months later, he experienced intractable abdominal pain. Serum amylase and lipase levels were elevated markedly. Abdominal computed tomography and endoscopic retrograde cholangiopancreatography confirmed acute pancreatitis, with evidence of coexisting chronic pancreatitis. His funduscopic examination after the development of acute pancreatitis was improved, with almost complete resolution of retinal whitening and hemorrhages. Visual acuity remained poor because of retinal ischemia. Purtscher’s retinopathy can be associated with chronic pancreatitis and can precede the development of fulminant acute pancreatitis.
ISSN:0002-9394
1879-1891
DOI:10.1016/j.ajo.2005.07.062