Servicio de Oftalmología, Hospital Universitario 12 de Octubre, Madrid, Spain.
Unidad Multidisciplinar de Neurooftalmología, Servicio de Oftalmología, Hospital Universitario 12 de Octubre, Madrid, Spain.
Arch Soc Esp Oftalmol (Engl Ed). 2021 Sep;96(9):488-491. doi: 10.1016/j.oftale.2020.06.026. Epub 2021 Jan 6.
Purtscher retinopathy is an occlusive microangiopathy associated with traumatic causes and usually causes visual impairment. For non-traumatic origins, it is called Purtscher-like retinopathy (PLR). A 26-year-old man reported loss of vision in his left eye after the implantation of a telescoping stent for the treatment of an intracranial carotid aneurysm. The fundus of the eye showed numerous cotton-wool spots and superficial haemorrhages. The spontaneous evolution was favourable, with almost complete resolution, except for an inferior residual scotoma. The appearance of PLR may be associated with the implantation of an endovascular stent for the treatment of intracranial aneurysms.
普勒歇尔氏视网膜病变是一种与创伤相关的闭塞性微血管病，通常会导致视力损害。对于非创伤性病因，则称之为普勒歇尔样视网膜病变（PLR）。一名 26 岁男性在因颅内颈动脉动脉瘤而植入可伸缩支架后报告左眼视力丧失。眼底出现大量棉絮斑和浅层出血。自发性演变良好，几乎完全消退，仅遗留下方残余性视野缺损。PLR 的出现可能与颅内动脉瘤血管内支架植入治疗有关。
