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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...

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Detalles Bibliográficos
Autores principales: Sokol, Jared T., Castillejos, Alexandra, Sobrin, Lucia
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2022
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.
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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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