|
NR 1-3/2007
|
|
|
|
|
|
|
|
|
O etiopatogenezie
Purtscher-Retinopathie i Purtscher-like Retinopathie
Pathogenesis of Purtscher’s
retinopathy and Purtscher-like retinopathy
Heinrich Holak1, Nikolai Holak1,
Małgorzata Huzarska2, Sophie Holak3
1 Z Kliniki Okulistycznej w Centrum Medycznym im.
Rudolfa Virchowa w Salzgitter
Kierownik: dr n. med. Heinrich Holak
2 Z Zakładu Farmakologii Klinicznej ¦l±skiej Akademii
Medycznej
Kierownik: prof. dr hab. n. med. Zbigniew S. Herman
3 Z Kliniki Okulistycznej w Schlosspark-Klinik w
Berlinie
Kierownik: dr n. med. Christoph Niederstadt |
|
|
| Summary: |
Purpose: The pathogenesis
of Purtscher´s retinopathy (PR) or Purtscher-like
retinopathy (PlR) is illustrated on two case reports.
Material and methods: Five patients with PR or PlR were
examined ophthalmologically. Fluorescein angiography,
fundus photography, visual field testing, and
electroretinography were also performed.
Results: In three cases, the PlR was observed after
acute pancreatitis, in one case it arosed from
cryoglobulinemy, because of hepatitis C, and in one case
it was due to a classic PR after the thorax trauma. In
the case of a slow resolution of retinal edema, atrophy
of the retinal pigment epithelium and optic nerve,
occurred. The therapy has been based on the internal
medicine treatment of the causal disease and the
administration of corticosteroids, to reduce retinal
edema.
Conclusions: PR and PlR are interdisciplinary diseases
caused by microembolization of retinal vessels. If
changes are intensive and long lasting, visual prognosis
is poor. |
| Słowa kluczowe: |
retinopatia Purtscher`a,
retinopatia podobna do retinopatii Purtscher’a,
etiopatogeneza. |
| Key words: |
Purtschers’ retinopathy,
Purtscher-like retinopathy, pathogenesis. |
|
|
|
|
|
|
