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Purtscher-like retinopathy following a bowel movement
PURPOSE: To describe a case of Purtscher-like retinopathy that developed after a bowel movement. OBSERVATIONS: A 32-year-old male presented with blurry vision and bilateral temporal paracentral scotomas that developed immediately after standing up from a bowel movement. Fundoscopic examination was n...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9092188/ https://www.ncbi.nlm.nih.gov/pubmed/35572612 http://dx.doi.org/10.1016/j.ajoc.2022.101560 |
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author | Sokol, Jared T. Castillejos, Alexandra Sobrin, Lucia |
author_facet | Sokol, Jared T. Castillejos, Alexandra Sobrin, Lucia |
author_sort | Sokol, Jared T. |
collection | PubMed |
description | PURPOSE: To describe a case of Purtscher-like retinopathy that developed after a bowel movement. OBSERVATIONS: A 32-year-old male presented with blurry vision and bilateral temporal paracentral scotomas that developed immediately after standing up from a bowel movement. Fundoscopic examination was notable for bilateral cotton wool spots in the nasal macula. Optical coherence tomography showed bilateral intraretinal fluid, subfoveal fluid, and scattered areas of inner retinal hyperreflectivity and thickening corresponding to the areas of cotton wool spots on examination. No treatment was administered and the patient had significant improvement in symptoms 2 days later with resolution of macular edema. CONCLUSIONS: Here we report a case of Purtscher-like retinopathy after a bowel movement. Although the exact mechanism of Purtscher-like retinopathy is unknown, there are multiple reports of Purtscher-like retinopathy after extreme events involving Valsalva, such as during weightlifting, and we postulate that this presentation is likely of similar pathophysiology. |
format | Online Article Text |
id | pubmed-9092188 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-90921882022-05-12 Purtscher-like retinopathy following a bowel movement Sokol, Jared T. Castillejos, Alexandra Sobrin, Lucia Am J Ophthalmol Case Rep Case Report PURPOSE: To describe a case of Purtscher-like retinopathy that developed after a bowel movement. OBSERVATIONS: A 32-year-old male presented with blurry vision and bilateral temporal paracentral scotomas that developed immediately after standing up from a bowel movement. Fundoscopic examination was notable for bilateral cotton wool spots in the nasal macula. Optical coherence tomography showed bilateral intraretinal fluid, subfoveal fluid, and scattered areas of inner retinal hyperreflectivity and thickening corresponding to the areas of cotton wool spots on examination. No treatment was administered and the patient had significant improvement in symptoms 2 days later with resolution of macular edema. CONCLUSIONS: Here we report a case of Purtscher-like retinopathy after a bowel movement. Although the exact mechanism of Purtscher-like retinopathy is unknown, there are multiple reports of Purtscher-like retinopathy after extreme events involving Valsalva, such as during weightlifting, and we postulate that this presentation is likely of similar pathophysiology. Elsevier 2022-04-29 /pmc/articles/PMC9092188/ /pubmed/35572612 http://dx.doi.org/10.1016/j.ajoc.2022.101560 Text en © 2022 The Authors https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Case Report Sokol, Jared T. Castillejos, Alexandra Sobrin, Lucia Purtscher-like retinopathy following a bowel movement |
title | Purtscher-like retinopathy following a bowel movement |
title_full | Purtscher-like retinopathy following a bowel movement |
title_fullStr | Purtscher-like retinopathy following a bowel movement |
title_full_unstemmed | Purtscher-like retinopathy following a bowel movement |
title_short | Purtscher-like retinopathy following a bowel movement |
title_sort | purtscher-like retinopathy following a bowel movement |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9092188/ https://www.ncbi.nlm.nih.gov/pubmed/35572612 http://dx.doi.org/10.1016/j.ajoc.2022.101560 |
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