Princess Left eye

Given the patient's history and retinal findings, she was diagnosed with Purtscher's Retinopathy,


Since that time, the clinical picture first described by Purtscher has been associated with:

Compressive chest injuries
long bone fracture
retrobulbar anesthesia
acute pancreatitis
strenuous childbirth
connective tissue and vasculitic diseases

Patients with Purtscher's (or Purtscher's-like) retinopathy may notice severe vision loss either immediately or up to 48 hours after the event
REFERENCES
Atabay C, et al. Late visual recovery after intravenous methylprednisolone treatment of Purtscher's retinopathy. Ann Ophthalmol. 1993;25(9):330-333.
Behrens-Baumann W, Scheurer G, Schroer H. Pathogenesis of Purtscher's retinopathy. Graefes Arch Clin Exp Ophthalmol. 1992;230(3):286-291.
Purtscher O. Ber Deutsche Ophth Ges 1910;36:294-301.

Management
No known treatment exists for Purtscher's retinopathy. The retinal whitening (cotton-wool patches) and retinal hemorrhages typically disappear over weeks or months. Unfortunately, however, the prognosis for visual recovery is poor. Speculation is that the visual acuity remains decreased secondary to infarction of either the foveal photoreceptors or optic nerve itself.1 There are reports in the literature of cases successfully treated with large doses of IV corticosteroids; however, this has not yet become the standard of care.6