Late visual recovery after intravenous methylprednisolone treatment of Purtscher's retinopathy

Ann Ophthalmol. 1993 Sep;25(9):330-3.


A 25-year-old man involved in a minor traffic accident subsequently had a Purtscher's-type retinopathy and lost visual acuity (20/800). After treatment with intravenous methylprednisolone at a dose of 1 g/day, his visual acuity improved to 20/70 three days later and to 20/50 one week later. The exudates and hemorrhages gradually disappeared. However, a localized central scotoma and afferent pupillary defect still persisted. We review previous reports on the retinal pathophysiology of Purtscher retinopathy and discuss the potential benefit of treatment with high-dose intravenous corticosteroids.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Humans
  • Injections, Intravenous
  • Male
  • Methylprednisolone / administration & dosage
  • Methylprednisolone / therapeutic use*
  • Retinal Diseases / drug therapy*
  • Retinal Diseases / physiopathology
  • Retinal Hemorrhage / drug therapy
  • Retinal Hemorrhage / physiopathology
  • Visual Acuity / physiology*
  • Visual Fields


  • Methylprednisolone