Sequels of Purtscher's retinopathy imaged by enhanced optical coherence tomography.
OBJECTIVE
To report the optical coherence tomography (OCT) findings in a case of Purtscher's retinopathy.


METHODS
Enhanced optical coherence tomography, fundus photography, multifocal electroretinography.


RESULTS
A 27-years-old female parachutist demonstrated outer retinal opacification with small intraretinal hemorrhages and corresponding binocular pericentric ring scotomata one day after suffering an unusually abrupt arrest of a free fall upon the unfolding of her parachute. When seen 20 years later, the scotomata were unchanged and optical coherence tomography showed bilateral disorganization at the transition between the retinal photoreceptor outer segments and the retinal pigment epithelium plus attenuation of the outer nuclear layer.


CONCLUSIONS
Our observations document that the long term sequels of Purtscher's retinopathy are located in the outer segments of the photoreceptors.
Soliman
Wael
W
Department of Ophthalmology, Glostrup Hospital, University of Copenhagen, Denmark. waelsoliman73@yahoo.com
Zibrandtsen
Nathalie
N
Jørgensen
Thomas
T
Sander
Birgit
B
Alsbirk
Poul-Helge
PH
Larsen
Michael
M
D000328:Adult; D001359:Aviation; D004596:Electroretinography; D005260:Female; D005654:Fundus Oculi; D006801:Humans; D020419:Photoreceptor Cells, Vertebrate / Q000473:pathology; D010857:Pigment Epithelium of Eye / Q000473:pathology; D012164:Retinal Diseases / Q000175:diagnosis* / Q000209:etiology*; D012607:Scotoma / Q000175:diagnosis; D013898:Thoracic Injuries / Q000150:complications*; D041623:Tomography, Optical Coherence; D058609:Visual Field Tests; D014794:Visual Fields