광범위한 장액성 황반부박리를 동반한 푸르처망막병증 1예

• 영문명: A Case of Purtscher’s Retinopathy with Diffuse Serous Macular Detachment
• 발행기관: 대한안과학회
• 저자명: 김영승 이영훈,Young Seung Kim, MD, Young Hoon Lee, MD
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume54,number5, 823~828쪽, 전체 6쪽
• 주제분류: 의약학 > 의학일반
• 파일형태: PDF
• 발행일자: 2013.05.15

영문 초록

Purpose: To report a case of Purtscher’s retinopathy with diffuse serous macular detachment. Case summary: A 63-year-old male patient presented to the hospital with decreased visual acuity. Three days prior to visiting the hospital, he had an blunt injury to the thoracic region caused by a steel beam, and his best corrected visual acuity was 20/50 in the right eye and 20/160 in the left eye. On slit lamp examination nothing unusual was observed in either eye, but fundus examinations showed retinal hemorrhages and a cotton wool spots on the posterior pole of the left eye and nothing unusual in the right eye. On fluorescein angiography, severe nonperfusion was observed at the posterior pole of the left eye. On optical coherence tomography, there was diffuse serous retinal detachment at the posterior pole and inferior retina of the left eye while mild subretinal fluid was observed at the posterior pole of the right eye. Under the suspicion of Purtscher’s retinopathy in both eyes, oral prednisolone (40 mg) was prescribed and the dosage was gradually reduced. Six weeks after the treatment, best corrected visual acuity improved to 20/20 in the right eye, and 20/30 in the left eye. Additionally, subretinal fluid in the right eye completely disappeared. Conclusions: Purtscher’s retinopathy is known as an ocular disease occurring after traumatic events. However, serous detachment of the macula has rarely been observed in Purtscher’s retinopathy, and herein we report a case with diffuse serous macular detachment which responded to oral steroid treatment.

키워드

Purtscher’s retinopathy, Serous retinal detachment