Late visual recovery after intravenous methylprednisolone treatment of Purtscher's retinopathy.
A 25-year-old man involved in a minor traffic accident subsequently had a Purtscher's-type retinopathy and lost visual acuity (20/800). After treatment with intravenous methylprednisolone at a dose of 1 g/day, his visual acuity improved to 20/70 three days later and to 20/50 one week later. The exudates and hemorrhages gradually disappeared. However, a localized central scotoma and afferent pupillary defect still persisted. We review previous reports on the retinal pathophysiology of Purtscher retinopathy and discuss the potential benefit of treatment with high-dose intravenous corticosteroids.
Atabay
C
C
Institute of Neurological Sciences and Psychiatry, Hacettepe University School of Medicine, Ankara, Turkey.
Kansu
T
T
Nurlu
G
G
D000328:Adult; D006801:Humans; D007275:Injections, Intravenous; D008297:Male; D008775:Methylprednisolone / Q000008:administration & dosage / Q000627:therapeutic use*; D012164:Retinal Diseases / Q000188:drug therapy* / Q000503:physiopathology; D012166:Retinal Hemorrhage / Q000188:drug therapy / Q000503:physiopathology; D014792:Visual Acuity / Q000502:physiology*; D014794:Visual Fields
D008775:Methylprednisolone