More Than Meets the (Right) Eye

Background

Blunt cranial trauma can have serious effects on eyesight. Purtscher chorioretinopathy (traumatic retinal angiopathy) was first described at the beginning of the 20th century with anormal funduscopic findings after head injuries without any direct ocular trauma. The pathophysiological mechanisms have been debated over decades with various theories. The currently most accepted approach has its origins in microembolization of retinal vessels with subsequent occlusion.

Publication History

Received: 14 October 2022

Accepted: 21 December 2022

Article published online:
25 April 2023

• References

• 1 Agrawal A, McKibbin M. Purtscherʼs retinopathy: epidemiology, clinical features and outcome. Br J Ophthalmol 2007; 91: 1456-1459
• 2 Miguel AI, Henriques F, Azevedo LF. et al. Systematic review of Purtscherʼs and Purtscher-like retinopathies. Eye (Lond) 2013; 27: 1-13
• 3 Kincaid MC, Green WR, Knox DL. et al. A clinicopathological case report of retinopathy of pancreatitis. Br J Ophthalmol 1992; 66: 219-226
• 4 Agrawal A, McKibbin M. Purtscherʼs retinopathies: a review. Surv Ophthalmol 2006; 51: 129-136
• 5 Holak H, Holak N, Huzarska M. et al. [Pathogenesis of Purtscherʼs retinopathy and Purtscher-like retinopathy]. Klin Oczna 2007; 109: 38-45
• 6 Proença Pina J, Ssi-Yan-Kai K, de Monchy I. et al. Purtscher-like retinopathy: case report and review of the literature. J Fr Ophtalmol 2008; 31: 609
• 7 Holak HM, Holak S. Prognostic factors for visual outcome in Purtscher retinopathy. Surv Ophthalmol 2007; 52: 117118 with author reply 118–119
• 8 Wang AG, Yen MY, Liu JH. Pathogenesis and neuroprotective treatment in Purtscherʼs retinopathy. Jpn J Ophthalmol 1988; 42: 318-322
• 9 Hammerschmidt DE, White JG, Craddock PR. et al. Corticosteroids inhibit complement-induced granulocyte aggregation. A possible mechanism for their efficacy in shock states. J Clin Invest 1979; 63: 798-803