Home | | Ophthalmology | Indirect Ocular Trauma: Purtscher’s Retinopathy

Chapter: Ophthalmology: Ocular Trauma

Indirect Ocular Trauma: Purtscher’s Retinopathy

Acute retinal ischemia withimpaired vision and loss of visual acuity will occur either immediately or within three to four days of the injury.

Indirect Ocular Trauma: Purtscher’s Retinopathy

Etiology: 

Arterial and venous circulatory disruption in the retina character-ized by a sudden increase in intravascular pressure may occur following severe chest injuries (compression trauma such as in a seat-belt injury) or fractures of long bones (presumably due to fat embolisms or vascular spasms).

Symptoms and diagnostic considerations: 

Acute retinal ischemia withimpaired vision and loss of visual acuity will occur either immediately or within three to four days of the injury. Examination of the fundus will reveal cotton-wool spots and intraretinal bleeding indicative of focal retinal ischemia. Lines of bleeding will also be observed.

Treatment: 

Fundus symptoms will usually disappear spontaneously withinfour to six weeks. Reduced visual acuity and visual field defects may occa-sionally persist. Occasionally treatment with high doses of systemic steroids and prostaglandin inhibitors is attempted.


Study Material, Lecturing Notes, Assignment, Reference, Wiki description explanation, brief detail
Ophthalmology: Ocular Trauma : Indirect Ocular Trauma: Purtscher’s Retinopathy |


Privacy Policy, Terms and Conditions, DMCA Policy and Compliant

Copyright © 2018-2024 BrainKart.com; All Rights Reserved. Developed by Therithal info, Chennai.