University of Health Sciences, Ankara Ulucanlar Eye Training and Research Hospital, Clinic of Ophthalmology, Ankara, Turkey.
Turk J Ophthalmol. 2020 Apr 29;50(2):123-126. doi: 10.4274/tjo.galenos.2019.02488.
Purtscher retinopathy and acute macular neuroretinopathy are two rare clinical disorders that are both probably associated with ischemic pathogenesis. In this report, we describe for the first time the coexistence of Purtscher retinopathy and acute macular neuroretinopathy in a patient with visual complaints after chest trauma. Optical coherence tomography (OCT) scans demonstrated outer retinal defects, while OCT angiography illustrated areas of hypoperfusion in the superficial and deep capillary plexuses as well as the choriocapillaris. In this report, it is emphasized that acute macular neuroretinopathy is a clinical condition that should be kept in mind in patients presenting with post-traumatic vision loss. Although its clinical diagnosis is difficult, characteristic OCT and OCT angiography findings facilitate diagnosis.
Purtscher 视网膜病变和急性黄斑神经视网膜病变是两种罕见的临床疾病,可能都与缺血性发病机制有关。在本报告中,我们首次描述了一名胸部创伤后出现视力障碍的患者同时患有 Purtscher 视网膜病变和急性黄斑神经视网膜病变。光学相干断层扫描(OCT)显示外视网膜缺陷,而 OCT 血管造影显示浅层和深层毛细血管丛以及脉络膜毛细血管灌注不足的区域。本报告强调,急性黄斑神经视网膜病变是一种临床疾病,对于出现创伤后视力丧失的患者应予以考虑。尽管其临床诊断较为困难,但特征性的 OCT 和 OCT 血管造影结果有助于诊断。