Oman Journal of Ophthalmology

CASE REPORT
Year
: 2016  |  Volume : 9  |  Issue : 2  |  Page : 110--112

Purtscher-like retinopathy in acute alcoholic pancreatitis


Nitin Nema1, Saba Ishrat1, Abha Verma1, Manoj Kela2 
1 Department of Ophthalmology, Sri Aurobindo Medical College and PG Institute, Indore, Madhya Pradesh, India
2 Department of Surgery, Sri Aurobindo Medical College and PG Institute, Indore, Madhya Pradesh, India

Correspondence Address:
Nitin Nema
Department of Ophthalmology, Sri Aurobindo Medical College and PG Institute, Indore, Madhya Pradesh
India

A 23-year-old man with a history of alcoholism presented with vomiting, fever, and sharp epigastric pain radiating to the back and flanks. He was diagnosed as a case of acute alcoholic pancreatitis on the basis of clinical findings and investigations. On the next day of presentation, he developed sudden bilateral visual loss. His best-corrected visual acuity was finger counting at one-foot distance in both eyes. He had diffuse whitening in the circumpapillary area, haloes around the retinal vessels (Purtscher flecken) and intra-retinal hemorrhages on ophthalmoscopic examination. Optical coherence tomography revealed bilateral macular edema. These findings were characteristic of Purtscher-like retinopathy. The patient showed systemic and visual improvement at 8 weeks follow-up after receiving the conventional treatment for acute alcoholic pancreatitis. This case emphasizes the importance of fundus examination by an ophthalmologist in the diagnosis of this rare under-diagnosed entity.


How to cite this article:
Nema N, Ishrat S, Verma A, Kela M. Purtscher-like retinopathy in acute alcoholic pancreatitis.Oman J Ophthalmol 2016;9:110-112


How to cite this URL:
Nema N, Ishrat S, Verma A, Kela M. Purtscher-like retinopathy in acute alcoholic pancreatitis. Oman J Ophthalmol [serial online] 2016 [cited 2019 Nov 19 ];9:110-112
Available from: http://www.ojoonline.org/article.asp?issn=0974-620X;year=2016;volume=9;issue=2;spage=110;epage=112;aulast=Nema;type=0