Morphologic Changes of the Macula in a Patient with Purtscher's Retinopathy
作者:
Andreas Remky,
Oliver Arend,
Sebastian Wolf,
Bernd Bertram,
Martin Reim,
期刊:
Ophthalmologica
(Karger Available online 1997)
卷期:
Volume 211,
issue 4
页码: 268-269
ISSN:0030-3755
年代: 1997
DOI:10.1159/000310805
出版商: S. Karger AG
关键词: Retinal vessels;Purtscher’s retinopathy;Retina;Scanning laser ophthalmoscope
数据来源: Karger
摘要:
Purtscher’s retinopathy is a rare complication after trauma to the chest or bone fractures. We report about a patient, which we examined 6 months after a serious car accident. Visual acuity was 20/20 in both eyes. Examination with the Amsler grid revealed a paracentral scotoma in the left eye. In the fluorescein angiography of the left eye performed with a scanning laser ophthalmoscope we found capillary dropout, which corresponded well to the scotoma. Measured by digital image analysis, the area of the foveal avascular zone was eccentrically enlarged by a factor of 4. The mean perifoveal intercapillary area was also enlarged in the corresponding quadrant. This reflects that focal capillary dropout may result in scotoma rather than in a decrease in visual acuity as reported in other diseases.
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