tailieunhanh - Báo cáo y học: "PPurtscher-like retinopathy following valsalva maneuver effect: case report"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Purtscher-like retinopathy following valsalva maneuver effect: case report. | Nor-Masniwati et al. Journal of Medical Case Reports 2011 5 338 http content 5 1 338 JOURNAL OF MEDICAL CASE REPORTS CASE REPORT Open Access Purtscher-like retinopathy following valsalva maneuver effect case report Saidin Nor-Masniwati Yaakub Azhany and Embong Zunaina Abstract Introduction Purtscher s retinopathy is a rare condition that is noted in cases related to various types of trauma. The characteristic finding in the fundus is the presence of multiple Purtscher flecken. Purtscher-like retinopathy has a similar presentation in the fundus but without an association with trauma. Case presentation A 43-year old Malay man presented with a sudden onset of central foggy vision in the left eye after holding his breath for two minutes while catching a falling object. It was not associated with floaters flashes of light or head trauma. His vision in the right eye was 6 6 and in his left eye it was finger counting. He had bilateral temporal sub-conjunctival hemorrhages. An examination of his left fundus revealed multiple white cotton wool spots and dot-blot retinal hemorrhages with diffuse retinal edema at the posterior pole. His right fundus was noted to have only mild temporal peri-papillary edema associated with a few dot-blot hemorrhages. Fundus fluorescein angiography showed good arterial perfusion and no evidence of leaking or neo-vascularization. A diagnosis of Purtscher-like retinopathy was made and the patient was treated with indomethacin tablets for six weeks. At his six-week follow-up examination his left eye visual acuity had improved to 6 12. His bilateral subconjunctival hemorrhage had resolved. His left fundus showed residual multiple cotton wool spots and reduced retinal edema. Conclusions Treatment with non-steroidal anti-inflammatory drugs seems to be effective in reducing edema in patients with Purtscher-like retinopathy. Introduction Purtscher s retinopathy is a rare condition and is noted in cases associated with .

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