Purtscher-like retinopathy preceding acute renal failure

CASE REPORT

The case is reported of a 61 year-old woman with Purtscher-like retinopathy associated with acute renal failure. Ophthalmic examination, fluorescein-angiography, and optical coherence tomography were consistent with Purtscher-like retinopathy. Ophthalmic symptoms and signs preceded renal failure. Pancreatitis and other systemic diseases were ruled out. The patient developed a neovascular glaucoma.

DISCUSSION

Purtscher-like retinopathy rarely precedes the associated systemic illness. Early diagnosis based on ophthalmic symptoms may help in the recognition and treatment of the disease, and prevent later complications.

[Retinal detachment in preeclampsia and HELLP Syndrome]

CASE REPORT

We report the case of a 33-year-old pregnant female with severe preeclampsia who developed serous retinal detachments and HELLP syndrome.

DISCUSSION

Following delivery by Caesarian section, there was spontaneous resolution of the serous retinal detachments, with residual pigmentary changes of the retinal pigment epithelium. The patient recovered normal vision (Arch Soc Esp Oftalmol 2003; 78: 335-338).

[Bietti's crystalline dystrophy. A 5-year progression]

CASE REPORT

The case of a 54 year old male patient with Bietti's Crystalline Dystrophy is presented. Bietti's Crystalline Dystrophy is a rare form of tapetoretinal degeneration associated with retinal crystalline deposits, geographic areas of atrophy of the retinal pigment epithelium and choriocapillaris in the posterior pole as well as pigment clumps in the mid-periphery. The case of one patient with a 5 year follow-up is described.

DISCUSSION

Minimal changes were observed by means of the ophthalmoscopic and fluorescein angiographic examinations. A slow progression of the pigmentary epithelium defects and of the choriocapillary atrophy was observed.