Unilateral Purtscher-like retinopathy after weight-lifting


Kocak N., Kaynak S., Kaynak T., Oner H., Cingil G.

EUROPEAN JOURNAL OF OPHTHALMOLOGY, cilt.13, sa.4, ss.395-397, 2003 (SCI-Expanded, Scopus) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 13 Sayı: 4
  • Basım Tarihi: 2003
  • Doi Numarası: 10.1177/112067210301300412
  • Dergi Adı: EUROPEAN JOURNAL OF OPHTHALMOLOGY
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.395-397
  • Anahtar Kelimeler: Purtscher retinopathy, weightlifting, Valsalva maneuver
  • Dokuz Eylül Üniversitesi Adresli: Evet

Özet

PURPOSE. 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 retinipathy associated with weightlifting.