医学
棉毛斑点
视网膜病变
眼底(子宫)
眼科
检眼镜
外科
视网膜
糖尿病
内分泌学
作者
Lan‐Chang Liang,Dandan Zhou,Cheng‐Wei Lu
标识
DOI:10.1016/j.amjms.2017.02.009
摘要
A 16-year-old Chinese girl developed sudden decrease of vision in both eyes over 3 days with no history of trauma. She was admitted for treatment of Churg-Strauss syndrome. She had asthma, hypertension, pericardial effusion, acute renal failure, elevated liver enzymes, and eosinophilia of 50%. On examination, the best-corrected vision was 20/40 in both eyes. Fundus examination revealed scattered intraretinal hemorrhages (Figure A, arrow) and cotton-wool spots around the optic disk (Figure B, arrow) bilaterally. The diagnosis of Purtscher-like retinopathy (PLR) was made. Then she was transferred to an intensive care unit for acute renal failure, and was lost to follow-up. PLR 1 Wu C. Dai R. Dong F. et al. Purtscher-like retinopathy in systemic lupus erythematosus. Am J Ophthalmol. 2014; 158: 1335-1341 Abstract Full Text Full Text PDF PubMed Scopus (28) Google Scholar , an occlusive microvasculopathy, is characterized by sudden visual decrease with multiple areas of retinal whitening. It can occur in patients with renal failure, childbirth, acute pancreatitis, connective tissue disorders, and Valsalva maneuver. No standard treatment exists for PLR. Observation with treatment of the etiology is a reasonable therapeutic option.
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