International Ophthalmology

, Volume 39, Issue 11, pp 2661–2665 | Cite as

Purtscher’s retinopathy case report: short posterior ciliary arteries contribution to radial peripapillary capillary system observed with optical coherence tomography angiography

  • Elena Ávila-MarrónEmail author
  • John P. Liscombe-Sepúlveda
  • Laura Manfreda-Dominguez
  • Prudencia Rochina-Pérez
  • Antonio Duch-Samper
Case Report



The authors report a case of Purtscher’s retinopathy whose optical coherence tomography angiography (OCT-A) analysis allows us to better understand the vascular network of the optic disk.


Case report.


A 75-year-old man presented with vision loss in his left eye (LE) after chest compression. The best-corrected visual acuity (BCVA) in the LE was 20/200, and the anterior segment showed a relative afferent pupillary defect. Dilated fundus examination revealed white peripapillary retinal patches and macular hemorrhage. The OCT scan showed edema and hyper-reflectivity of the inner retinal layers at macular level. In turn, OCTA evidenced capillary dropout in both macular retinal plexus, though with preservation of the radial peripapillary capillaries (RPC) and choriocapillary layer. At 9 months, BCVA was 20/20 associated with persistence macular ischemia but unaffected RPC.


In conclusion, this case suggests that the RPC does not depend exclusively on retinal capillaries as there was a reversible damage after a microvascular retinal disorder such as Purtscher’s retinopathy. Possibly, the contribution from short posterior ciliary arteries ensures proper vascularization as choriocapillary layer also remained unaffected. Furthermore, OCTA is considered a useful tool that affords better assessment of RPC than FA.


Optical coherence tomography angiography Purtscher’s retinopathy Radial peripapillary capillaries Case report 



No funding was received for this work from any of the following organizations: National Institutes of Health (NIH); Wellcome Trust; Howard Hughes Medical Institute (HHMI); and other(s).

Compliance with ethical standards

Conflict of interest

None of the authors have a proprietary interest. The authors declare that they have no conflicts of interest regarding the publication of this paper.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.

Informed consent

Informed consent was obtained from all individuals participants included in the study.


  1. 1.
    Gao SS, Jia Y, Zhang M et al (2016) Optical coherence tomography angiography. Invest Ophthalmol Vis Sci 57:27–36CrossRefGoogle Scholar
  2. 2.
    Mansoori T, Sivaswamy J, Gamalapati JS et al (2017) Measurement of radial peripapillary capillary density in the normal human retina using optical coherence tomography angiography. J Glaucoma 26(3):241–246CrossRefGoogle Scholar
  3. 3.
    Pechauer Alex D, Jia Yali, Liu Liang et al (2015) Optical coherence tomography angiography of peripapillary retinal blodd flow response to hyperoxia. Invest Ophthalmol Vis Sci 56:3287–3291CrossRefGoogle Scholar
  4. 4.
    Mo Shelley, Phillips Eirka, Krawitz Brian D et al (2017) Visualization of radial peripapillary capillaries using optical coherence tomography angiography: the effect of image averaging. PLoS ONE 12(1):2–4CrossRefGoogle Scholar
  5. 5.
    Cerdá-Ibáñez M, Duch-Samper A, Clemente-Tomás R et al (2017) Correlation between ischemic retinal accidents and radial peripapillary capillaries in the optic nerve using optical coherence tomographic angiography: observations in 6 patients. Ophthalmol Eye Dis 9:1–3CrossRefGoogle Scholar

Copyright information

© Springer Nature B.V. 2019

Authors and Affiliations

  1. 1.Department of OphthalmologyValencia University Clinic HospitalValenciaSpain
  2. 2.Department of Ophthalmology, Faculty of MedicineUniversity of ValenciaValenciaSpain
  3. 3.OviedoSpain

Personalised recommendations