Purtcher Like Retinopathy Complicating Acute Pancreatitis: Rare Case

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Mounir Bouali
Othmane El Yamine
Meriem Essakhi
Issam Hamrerras
Abdelillah E. l. Bakouri
Fatimazahra Bensardi
Khalid E. l. Hattabi
Abdelaziz Fadil


Acute pancreatitis is an inflammatory process in the pancreas that can affect other distant organs. Ophthalmologic involvement in particular Ischemic retinopathy known as "Purtscher" during acute pancreatitis has been exceptionally associated, Purtscher retinopathy is a retinal vasculopathy most commonly caused by head or chesttrauma. The most frequent signs include white ischemic infarcts (cotton-wool spots) and retinal hemorrhages (intraretinal, preretinal, or flame). The signs of ischemic vasculopathy predominate in the interpapillomacular zone. Pathophysiology is not yet fully understood and no treatment has proven effective to date. We report a case of a 48-year-old woman with sudden bilateral loss of vision caused by Purtscher retinopathy in acute pancreatitis.

Acute pancreatitis, purtscherlike retinopathy, rare complication.

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How to Cite
Bouali, M., Yamine, O. E., Essakhi, M., Hamrerras, I., Bakouri, A. E. l., Bensardi, F., Hattabi, K. E. l., & Fadil, A. (2020). Purtcher Like Retinopathy Complicating Acute Pancreatitis: Rare Case. International Research Journal of Gastroenterology and Hepatology, 3(2), 29-33. Retrieved from http://journalirjgh.com/index.php/IRJGH/article/view/30116
Case Report


Campo SMA, Gasparri V, Catarinelli G, Sepe M. Acute pancreatitis with Purtscher’s retinopathy: Case report and review of the literature. Dig Liver Dis. 2000;32(8):729‑32.

Caplen SM, Madreperla SA. Purtscher’s retinopathy: A case report and review. Am J Emerg Med. 2008;26(7):836-e1.

Niyousha MR, Hassanpoor N, Eftekhari A, Mousvi F. Simultaneous paracentral acute middle maculopathy and purtscher-like retinopathy after acute febrile illness. Can J Ophthalmol. 2018;53(5):e184‑6.

Sanders RJ, Brown GC, Brown A, Gerner EW. Purtscher’s retinopathy preceding acute pancreatitis. Ann Ophthalmol. 1992; 24(1):19-21.

Agrawal A, McKibbin MA. Purtscher’s and Purtscher-like Retinopathies: A Review. SurvOphthalmol. 2006;51(2):129‑36.

Agrawal A, McKibbin M. Purtscher’s retinopathy: Epidemiology, clinical features and outcome. Br J Ophthalmol. 2007;91 (11):1456-1459.

Muniraj T, Gajendran M, Thiruvengadam S, Raghuram K, Rao S, Devaraj P. Acute Pancreatitis. Dis Mon. 2012;58(3):98‑ 144.

Carrera CRL, Pierre LMA, Medina FMC, Pierre-Filho PDTP. Purtscher-like retinopathy associated with acute pancreatitis. Sao Paulo Med J. 2005;123 (6):289‑91.

Onaran Z, Akbulut Y, Tursun S, et al. Purtscher-like retinopathy associated with synthetic cannabinoid (Bonzai) Use Turkish Journal of Ophthalmology. 2019;49 (2):114-116.
DOI: 10.4274/tjo.galenos.2018.67670

Miguel AIM, Henriques F, Azevedo LFR, Loureiro AJR, Maberley DAL. Systematic review of Purtscher’s and Purtscher-like retinopathies. Eye. Janv. 2013;27(1):1‑13.

Holak H, Holak N, Huzarska M, Holak S. Pathogenesis of Purtscher’s retinopathy and Purtscher-like retinopathy. KlinOcz. 2007;109(1‑3);38-45.

Pina JP, Kai ISY, Offret H, Labetoulle M. 525 Pseudo rétinopathie de Purtscher: à propos d’un cas. J Fr Ophtalmol. 2008;31: 166.

Pascale M, Alain G, Bénédicte D. Pathologie vasculaire du fond d’oeil/ Rétinopathie diabétique. Lavoisier; 2014;3:291.

Subudhi P, Kanungo S, Subudhi NR. Purtscher’s-like retinopathy in acute alcoholic pancreatitis. Case Reports. 2016; bcr2016215485.