Onaran Zafer, Akbulut Yaprak, Tursun Serkan, Oğurel Tevfik, Gökçınar Nesrin, Alpcan Ayşegül
Kırıkkale University Faculty of Medicine, Department of Ophthalmology, Kırıkkale, Turkey
Kırıkkale University Faculty of Medicine, Department of Pediatrics, Kırıkkale, Turkey
Turk J Ophthalmol. 2019 Apr 30;49(2):114-116. doi: 10.4274/tjo.galenos.2018.67670.
Purtscher’s retinopathy is a microvascular occlusive disease initially described as retinal edema, cotton wool-like exudation, and hemorrhages occurring after severe head trauma. A similar clinical presentation called Purtscher-like retinopathy is associated with systemic diseases instead of trauma. In the present case, ophthalmic eksamination of a patient with complaints of blurred vision related to substance (Bonzai) use revealed bilateral cotton-wool spots. Purtscher-like retinopathy was diagnosed based on fluorescein angiography and optical coherence tomography findings. This is the first case of Purtscher-like retinopathy associated with Bonzai use described in the literature.
普尔夏视网膜病变是一种微血管闭塞性疾病，最初被描述为严重头部外伤后出现的视网膜水肿、棉絮状渗出和出血。一种类似临床表现的称为类普尔夏视网膜病变，与全身性疾病而非外伤有关。在本病例中，一名因使用某种物质（邦赛）而出现视力模糊的患者经眼科检查发现双侧棉絮斑。根据荧光素血管造影和光学相干断层扫描结果诊断为类普尔夏视网膜病变。这是文献中描述的首例与使用邦赛相关的类普尔夏视网膜病变病例。
