title: Purtscher's-like retinopathy in acute alcoholic pancreatitis.
abstract: A 28-year-old man presented with a sudden onset of visual loss in both eyes (OU). He had a known history of acute pancreatitis and hepatitis following alcohol abuse. Examination of the anterior segment of the eye revealed non-sustained pupillary light reaction. The fundus showed typical Purtscher's flecken over the posterior pole with multiple cotton wool spots and retinal superficial haemorrhages in OU. Fundus fluorescein angiogram revealed abnormal hypofluorescence in both the posterior poles. Optical coherence tomography (OCT) for Purtscher's flecken showed abnormal retinal thickening with hyper-reflective areas in the inner neurosensory layers. The patient responded favourably to high-dose corticosteroid therapy (1.5 mg/kilogram per body weight) with a tapering dose. There was a mild reduction of the ischaemic areas with a corresponding improvement in visual acuity. This case has been presented owing to its rarity and under-reporting. Treatment with corticosteroids yielded favourable results.
authors.affiliation: Department of Ophthalmology, Ruby Eye Hospital, Berhampur, Odisha, India Department of Ophthalmology, KIMS, Bhubaneswar, Odisha, India.
authors.forename: Praveen
authors.initials: P
authors.lastname: Subudhi
authors.affiliation: Kar vision eye hospital, Bhubaneswar, Odisha, India Ruby Eye Hospital, Berhampur, Odisha, India.
authors.forename: Sanghamitra
authors.initials: S
authors.lastname: Kanungo
authors.affiliation: Department of Ophthalmology, M.K.C.G Medical College, Berhampur, Odisha, India.
authors.forename: Nageswar
authors.initials: N
authors.lastname: Rao Subudhi
mesh_terms: D000208:Acute Disease; D000305:Adrenal Cortex Hormones / Q000627:therapeutic use; D000328:Adult; D006801:Humans; D008297:Male; D019512:Pancreatitis, Alcoholic / Q000150:complications*; D012164:Retinal Diseases / Q000188:drug therapy / Q000209:etiology*; D014786:Vision Disorders / Q000209:etiology; D014792:Visual Acuity
chemical_list: D000305:Adrenal Cortex Hormones