Spectral domain optical coherence tomography imaging of Purtscher-like retinopathy.
OBJECTIVE
To report spectral domain optical coherence tomography findings in a patient with Purtscher-like retinopathy.


METHODS
Case report, image analysis, and literature review.


RESULTS
A 71-year-old woman presented with decreased vision, cotton-wool spots, and a deep whitish polygonal lesion in her left eye, which was hyperreflective on spectral domain optical coherence tomography. She was diagnosed with Purtscher-like retinopathy and later was found to have metastatic pancreatic cancer.


CONCLUSIONS
Purtscher-like retinopathy can occur secondary to malignant pancreatic cancer. Purtscher-flecken can be characterized by cross-sectional and en face spectral domain optical coherence tomography and represent deep capillary ischemia.
*West Coast Retina Medical Group, San Francisco, California; †Division of Vision Science, School of Optometry, University of California, Berkeley, California; and ‡Department of Ophthalmology, California Pacific Medical Center, San Francisco, California.
Brandon J
BJ
Lujan
Patrick A
PA
Coady
H Richard
HR
McDonald
D000368:Aged; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D010190:Pancreatic Neoplasms / Q000150:complications / Q000556:secondary; D012164:Retinal Diseases / Q000175:diagnosis / Q000209:etiology*; D041623:Tomography, Optical Coherence / Q000379:methods*