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Answers: 2005 Series -  December 13, 2005 Lecture 3 of 52  NEXT»

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Photo courtesy of: 
Patrick Ma, M.D.
Used with permission. Not to be reproduced.

A 25-year-old woman involved in a motor vehicle accident with severe trauma and revived in the field with cardiopulmonary resuscitation (CPR) awoke in the intensive care unit (ICU) with bilateral decreased vision (20/200 OU) and the following appearance on dilated exam.  The patient has bilateral cotton-wool spots, striate retinal hemorrhages, and retinal edema.

These findings are most consistent with:   

d -- Purtscher's retinopathy


Purtscher's Retinopathy

  • Purtscher's retinopathy is described as a retinal angiopathy associated with bodily trauma, especially chest compressions (CPR) and long bone fractures.
  • There is no effective medical or surgical management of this disease.
  • It is theorized that this is caused by fat/air emboli, increased venous pressure, and endothelial damage.

 


Lecture 3 of 52 «Previous Lecture   1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52    Next»