Çevik Taha Salim, Kocaman Ata Sena, Özdamar Erol Yasemin, Eser Eylem Pınar
Department of Ophthalmology, Ankara Etlik City Hospital, Ankara, Turkey.
Department of Pathology, Ankara Etlik City Hospital, Ankara, Turkey.
J Vitreoretin Dis. 2025 Aug 31:24741264251366409. doi: 10.1177/24741264251366409.
Purtscher-like retinopathy is a condition similar to Purtscher's retinopathy but results from non-traumatic causes. Although its pathophysiology is not fully understood, it is thought to be related to the complement system. Renal diseases, which play a significant role in secondary hypertension, are known to be important in its etiology. Observational case report. A 22-year-old male patient initially presented with vision-related findings, including both hypertensive retinopathy and Purtscher-like retinopathy, and on further investigation was diagnosed with IgA nephropathy with C3 immunocomplexes, a combination of poor prognostic factors, and rapidly progressive glomerulonephritis. The presence of both hypertensive retinopathy and Purtscher-like retinopathy in our patient indicates an advanced stage of ocular involvement. This emphasizes the critical role of ocular findings in the differential diagnosis and severity of systemic diseases.
类Purtscher视网膜病变是一种与Purtscher视网膜病变相似但由非创伤性原因引起的病症。尽管其病理生理学尚未完全了解,但据认为与补体系统有关。已知在继发性高血压中起重要作用的肾脏疾病在其病因中很重要。观察性病例报告。一名22岁男性患者最初出现与视力相关的表现,包括高血压性视网膜病变和类Purtscher视网膜病变,进一步检查后被诊断为IgA肾病伴C3免疫复合物,这是一组不良预后因素,以及快速进展性肾小球肾炎。我们的患者同时存在高血压性视网膜病变和类Purtscher视网膜病变,表明眼部受累处于晚期。这强调了眼部表现在全身疾病鉴别诊断和严重程度中的关键作用。