Purtscher-like retinopathy following carotid angioplasty and stenting in the treatment of severe carotid stenosis

Eur J Ophthalmol. 2024 Mar;34(2):NP73-NP77. doi: 10.1177/11206721231204632. Epub 2023 Oct 4.

Abstract

We present a case of Purtscher-like retinopathy (PLR) following carotid angioplasty and stenting (CAS). A 56-year-old man with a history of severe stenosis of the left carotid artery and treated by CAS refers acute and painless visual loss on the left eye (OS) 48 h after the procedure. Funduscopic examination showed cotton wool spots and intraretinal hemorrhages confined to the peripapillary and posterior pole of the OS. The optical coherence tomography (OCT) showed retinal thickening and hyperintense lesions in the inner nuclear layer retina.

Keywords: Retina pathology / research

Publication types

  • Case Reports

MeSH terms

  • Angioplasty
  • Carotid Stenosis* / diagnosis
  • Carotid Stenosis* / pathology
  • Carotid Stenosis* / surgery
  • Eye Injuries*
  • Fluorescein Angiography / methods
  • Humans
  • Male
  • Middle Aged
  • Retina / pathology
  • Retinal Diseases* / diagnosis
  • Retinal Diseases* / etiology
  • Retinal Diseases* / pathology