DR. SIDDHI SHANBHAG

Dr.AMBEKAR SANJEEVANI VISHNU PANT, Dr. AYUSH MAHENDRA SANGOLE

Abstract

Purtscher retinopathy(retinal teletraumatism) is an occlusive microvasculopathy,characterized post trauma. C/C- 33/M, came to Medicine OPD with c/o Burning sensation in extremities, proximal muscle weakness with fatiguability & decreased appetite. Investigations- Hb of 6.6g/dl,PBS showing IDA,HbA1C raised (7.2%),non-significant Autoimmune workup. V/A (OD BCVA 6/9 OS BCVA 6/6); Color/Contrast Sensitivity/ Fields WNL. FP showed numerous large cotton wool spots surrounding the arcades. FFA-multiple MA but no leakages with CNP areas. Tests were advised to rule out systemic inflammatory diseases/blood dyscrasias with no conclusion. After Rheumatologists opinion, a diagnosis of Diabetic Amyotrophy was made and the patient was given 5 days of 10g IVIG. Conclusion- In an unexplained cause of Purtschers-like Retinopathy, not hampering vision, course of management can be based on the framework of systemic workup and a combined management with the Physician is required for ruling out all causes.

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