Abstract
Purpose
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.
Methods
Case report.
Results
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.
Conclusion
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.
Similar content being viewed by others
References
Gao SS, Jia Y, Zhang M et al (2016) Optical coherence tomography angiography. Invest Ophthalmol Vis Sci 57:27–36
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):241–246
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 56:3287–3291
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):2–4
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 9:1–3
Funding
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).
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
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.
Additional information
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
About this article
Cite this article
Ávila-Marrón, E., Liscombe-Sepúlveda, J.P., Manfreda-Dominguez, L. et al. Purtscher’s retinopathy case report: short posterior ciliary arteries contribution to radial peripapillary capillary system observed with optical coherence tomography angiography. Int Ophthalmol 39, 2661–2665 (2019). https://doi.org/10.1007/s10792-019-01086-9
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10792-019-01086-9