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International Journal of Recent Trends in Science and Technology, ISSN 2277-2812 E-ISSN: 2249-8109

Volume 10, Issue 2, March 2014 pp 406-408

Case Report

Purtscher’s Retinopathy an Eye on Head Injury

 

Mit Mehta1, D. K. Sindal2, Vijay Karambelkar3

{1 Junior Resident, 2HOD and Professor, 3Professor}

Department of Ophthalmology, Krishna Institute of Medical Sciences and Deemed University, Karad, Maharashtra, INDIA.


Academic Editor : Dr. Aher K. R.

Abstract


We report a case of 45 year old man following a motor vehicle accident noted decreased vision on 5thday following the trauma. Vision in right eye was hand movement close to face and left eye was counting finger at one meter. Multiple cotton wool spots, pre-retinal and retinal hemorrhages were present in both eyes with macular oedemaon basis of which diagnosis of Purtscher’s retinopathy was made and patient was treated with iv methylprednisolone and at end of 6 weeks, vision in right eye wascounting finger at one meter and in left eye 6/12. Prognostic factor for poor outcome in right eye due to corneal opacity and irregular corneal surface and hypermetric (childhood amblyopia; +5.5D)