Zwolińska D, Medyńska A, Galar A, Turno A
Department of Pediatric Nephrology, Medical University, Wrocław, Poland.
Pediatr Nephrol. 2000 Nov;15(1-2):82-4. doi: 10.1007/s004670000411.
A sudden loss of vision attributable to Purtscher-like retinopathy occurred in a 4-year-old boy with focal segmental glomerulosclerosis and nephrotic syndrome as well as mild chronic renal failure. This retinopathy was bilateral. After treatment with intravenous methylprednisolone, infusion of 20% albumin, and low molecular weight heparin (nadroparin calcium), his visual acuity improved within 3 days. Ischemic retinal blanching and hemorrhages gradually disappeared. The pathogenesis of this disorder is unknown.
一名患有局灶节段性肾小球硬化症、肾病综合征以及轻度慢性肾衰竭的4岁男孩突然出现了类似Purtscher样视网膜病变导致的视力丧失。这种视网膜病变是双侧性的。在接受静脉注射甲泼尼龙、输注20%白蛋白以及低分子量肝素（那屈肝素钙）治疗后，他的视力在3天内得到改善。视网膜缺血性变白和出血逐渐消失。这种病症的发病机制尚不清楚。
