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Case Reports
. 2020 Aug 20:20:100892.
doi: 10.1016/j.ajoc.2020.100892. eCollection 2020 Dec.

Purtscher's-like retinopathy associated with acute pancreatitis

Greggory M Gahn  1 , Arshad M Khanani  2   3 , Majid Khan  3 , Aamir A Aziz  2 , Fawwaz A Siddiqui  2   3 , Nikolas Js London  4 , Lekha K Mukkamala  5 , Lawrence S Morse  6
Affiliations
Case Reports

Purtscher's-like retinopathy associated with acute pancreatitis

Greggory M Gahn et al. Am J Ophthalmol Case Rep. .
No abstract available

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Figures

Fig. 1
Fig. 1
Initial presentation true-color fundus and Fluorescein Angiogram imaging of the right and left eyes. A,B: Pre-treatment true-color fundus photo of the right (A) and left (B) eyes, respectively, showing retinal whitening, cotton-wool spots, pre-retinal and intra-retinal hemorrhages. C,D: Fluorescein Angiogram of the right (C) and left (D) eyes, respectively, showing blocking due to pre-retinal hemorrhages and hypofluorescence due to macular ischemia.
Fig. 2
Fig. 2
At presentation enhanced-depth imaging spectral-domain optical coherence tomography (SD-OCT) and OCT-angiography (OCTA) of the right and left eyes. A,B: SD-OCT b-scans of the right (A) and left (B) maculas, respectively, showing intra-retinal edema and pre-retinal hemorrhage. C,D: Macular OCTA imaging of the superficial and deep vascular networks in the right (A) and left (B) eyes, respectively, showing microvascular occlusion.
Fig. 3
Fig. 3
Post treatment enhanced-depth imaging spectral-domain optical coherence tomography (SD-OCT) and OCT-angiography (OCTA) of the right and left eyes. A,B: SD-OCT b-scans of the right (A) and left (B) maculas, respectively, showing perifoveal inner retinal opacification with prominent loss of retinal detail as well prominent central outer retinal thinning with complete loss of retinal detail. Choroidal imaging demonstrates thickening in both eyes. C,D: Macular OCTA imaging of the superficial and deep vascular networks in the right (A) and left (B) eyes, respectively, demonstrating persistent stable from prior absence of flow in the inner retinal vasculature OU.
See this image and copyright information in PMC

References

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    1. Ciortescu I., Cozma D., Epure B., Epifanov L., Drug V., Stan M. Purtscher's-like retinopathy--a rare complication of acute pancreatitis. J Gastrointestin Liver Dis. 2011;20(4):345. - PubMed

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