Aktuelle Tagungsinformationen
News and Updates
Anmeldung zur Tagung
Registration
Hotelbuchung
Hotel Registration
Grußwort
Welcome address
Beteiligte Gesellschaften
Societies involved
Eröffnung des Kongresses
Opening Ceremony
Preise
Awards
Wissenschaftliches Programm
Scientific program
Posterpräsentationen
Poster Presentation
Kurse
Courses
Begleitende Veranstaltungen
Collateral Events
Rahmenprogramm
Social program
Jubiläumsparty
Jubilee Party
DOG Information
DOG Information
Allgemeine Informationen
General Information
Autorenindex
Index of Authors
Ausstellerliste
Exhibitors
Sponsoren
Sponsors
Teilnahmegebühren
Registration fees
Impressum
DOG Homepage
Purtscher's Retinopathy: Visual Outcome and Differential Diagnosis
Otto T. M., Schmidt D.,
Albert-Ludwigs-Universität, Augenklinik (Freiburg)
Purpose: Severe visual loss after trauma of the thorax or the skull occurs in Purtscher's retinopathy (yellowish-white, polygonal spots in the retina, cotton-wool spots, flame-shaped or spot-like hemorrhages). Visual outcome is not consistent according to the literature.
Patients: Follow-up of ten patients (age: 21-65 years) with classical signs of Purtscher's Retinopathy after a traffic accident.
Results: The mean visual acuity after trauma was 0.1 (hand motions up to 0.4). The mean final visual acuity after several months was 0.6 (0.1 up to 0.9). Differential diagnosis: In three further patients atypical changes of the fundus were found after polytrauma: central retinal artery occlusion, traumatic optic atrophy, traumatic macular edema. They were primarily misdiagnosed as Purtscher's retinopathy although not showing the typical signs of the fundus.
Conclusions: In contrast to the initial severe retinal changes in Purtscher's retinopathy visual outcome often is favourable.