title: Unilateral Purtscher-like retinopathy after weight-lifting.
abstract: OBJECTIVE
  To report a case of Purtscher-like retinopathy after weightlifting.
  
  
  METHODS
  A 17-year-old man presented with a sudden visual loss in his left eye after weightlifting two weeks ago. Fundus examination of the left eye showed cotton-wool spots and scattered retinal hemorrhages in the posterior pole. Fluorescein angiography and indocyanine green angiography with a scanning laser ophthalmoscope were performed.
  
  
  RESULTS
  Angiography showed hypofluorescent areas adjacent to the optic disc and in the posterior pole and partial filling insufficiency in the inferior and inferotemporal branch retinal veins. Complete venous filling was noted in late phases of angiography.
  
  
  CONCLUSIONS
  The pathogenesis of weightlifting suggests the Purtscher-like changes as a result of Valsalva maneuver in our case. To our knowledge, this is the first reported case of Purtscher-like retinopathy associated with weightlifting.
authors.affiliation: Department of Ophthalmology, Dokuz Eylul University, Izmir, Turkey. nkocak@yahoo.com
authors.forename: N
authors.initials: N
authors.lastname: Kocak
authors.forename: S
authors.initials: S
authors.lastname: Kaynak
authors.forename: T
authors.initials: T
authors.lastname: Kaynak
authors.forename: H F
authors.initials: HF
authors.lastname: Oner
authors.forename: G
authors.initials: G
authors.lastname: Cingil
mesh_terms: D000293:Adolescent; D000792:Angiography; D004396:Coloring Agents; D005451:Fluorescein Angiography; D006801:Humans; D007208:Indocyanine Green; D008297:Male; D009887:Ophthalmoscopy; D012075:Remission, Spontaneous; D012164:Retinal Diseases / Q000175:diagnosis / Q000209:etiology* / Q000503:physiopathology; D012166:Retinal Hemorrhage / Q000209:etiology; D014792:Visual Acuity; D014891:Weight Lifting
chemical_list: D004396:Coloring Agents; D007208:Indocyanine Green