International Ophthalmology

, Volume 34, Issue 1, pp 103–106

Purtscher’s retinopathy in pre-eclampsia: a blinding combination

Authors

    • Guru Nanak Eye Centre, Maulana Azad Medical College and Affiliated Hospitals
  • Divya Jain
    • Guru Nanak Eye Centre, Maulana Azad Medical College and Affiliated Hospitals
  • Batriti Wallang
    • Guru Nanak Eye Centre, Maulana Azad Medical College and Affiliated Hospitals
Case Report

DOI: 10.1007/s10792-013-9739-1

Cite this article as:
Singh, K., Jain, D. & Wallang, B. Int Ophthalmol (2014) 34: 103. doi:10.1007/s10792-013-9739-1
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Abstract

Blindness in pregnancy can occur due to cortical infarcts, retinal vascular occlusions and retinal detachment. Purtscher’s retinopathy is a rare entity causing visual loss during pregnancy and has so far been reported in association with complicated labor. We report here on a case of Purtscher’s retinopathy leading to bilateral blindness in a pre-eclamptic multigravida after an uncomplicated spontaneous delivery. The patient had no visual recovery after 3 months postpartum. Poorly controlled pregnancy-induced hypertension coupled with the hypercoagulable state of pregnancy probably led to a compromised optic nerve microvasculature and loss of retinal autoregulation. Subsequently the acute event of parturition triggered a complement-mediated leucocyte embolization to this already compromised microvasculature resulting in Purtscher’s retinopathy.

Keywords

Purtscher’s retinopathyPregnancyPre-eclampsiaIrreversible blindness

Copyright information

© Springer Science+Business Media Dordrecht 2013