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Purtscher Retinopathy as the Initial Sign of Thrombotic Thrombocytopenic Purpura/Hemolytic Uremic Syndrome
Milan R. Patel, BS;
Arvinder K. Bains, MD;
Joseph P. O'Hara, MD;
Andre M. Kallab, MD;
Dennis M. Marcus, MD
Augusta, Ga
Arch Ophthalmol. 2001;119:1388-1389.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
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A 52-YEAR-OLD African American woman had a 3-week history of progressive
decline in bilateral vision. Ocular examination revealed bilateral diffuse
retinal edema and whitening and confluent cotton-wool spots centered around
the peripapillary region. Also noted were bilateral marked attenuation of
the retinal arterioles, scattered retinal hemorrhages in both eyes, and a
cherry-red spot in the right eye (Figure 1). Fluorescein angiography demonstrated severe capillary dropout
of the macular and peripapillary retinal vasculature in both eyes in the arterial
phase (Figure 2A, 2B) and perivascular
leakage with severe capillary dropout in both eyes in the late arteriovenous
phase (Figure 2C, 2D), accounting
for a visual acuity of counting fingers at 2 feet in both eyes. The patient
was initially diagnosed as having Purtscher retinopathy secondary . . . [Full Text of this Article]COMMENT
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