Bilateral severe visual loss in a patient with acute pancreatitis: Purtscher-like Retinopathy

Revista de Medicina da UFC

Endereço:
Gerência de Ensino e Pesquisa - Universidade Federal do Ceará/Rua Coronel Nunes de Melo, S/N - Bloco dos ambulatórios (ilhas) - Andar superior - Rodolfo Teófilo
Fortaleza / CE
60430-270
Site: http://periodicos.ufc.br/revistademedicinadaufc
Telefone: (85) 3366-8590
ISSN: 24476595
Editor Chefe: Renan Magalhães Montenegro Júnior
Início Publicação: 30/11/2014
Periodicidade: Trimestral
Área de Estudo: Medicina

Bilateral severe visual loss in a patient with acute pancreatitis: Purtscher-like Retinopathy

Ano: 2017 | Volume: 57 | Número: 2
Autores: Ricardo Evangelista Marrocos de Aragao, Ieda Maria Alexandre Barreira, Gustavo Jose Arruda Mendes Carneiro, Nayara Queiroz Cardoso Pinto, Talles Peterson Cavalcante Oria, Jhonatan de Paula Araujo Ferreira, Igor Costa Menezes
Autor Correspondente: Ricardo Evangelista Marrocos de Aragao | [email protected]

Palavras-chave: retina, pancreatitis, optic atrophy, complement activation, optic nerve.

Resumos Cadastrados

Resumo Inglês:

Purtscher retinopathy is a unilateral or bilateral visual loss following acute injury to the thorax or head. It is characterized by large cotton-wool spots, hemorrhages, and retinal edema. Vision loss may be permanent due to isquemia of the retina, and optic atrophy. Is thought to be a result of injury-induced complement ativation causing granulocyte aggregation and leukoembolization. Other conditions may active complement and may produce similar fundus appearance including acute pancreatitis, collagen-vascular disease, childbirth, and amniotic fluid embolism. Herein, we describe a patient with bilateral permanent visual loss following diagnosis of acute pancreatitis.