Purtscher-like Retinopathy after Scleral Fixation of IOL

Han, Sang Youp; Kang, Jae Hoon; Choi, Yeung Rak; Chun, Hui Jong; Yoon, Hee Sung

Abstract

PURPOSE: We report a case of Purtscher-like retinopathy following the removal of a dislocated IOL and scleral fixation of a new IOL.
METHODS
A 60-year-old man presented with sudden visual loss of the right eye. An ophthalmologic examination revealed IOL dislocation. He underwent removal of the dislocated IOL and scleral fixation of the new IOL. Visual acuity was 0.02 in the right eye on the second postoperative day. A fundus examination and fluorescein angiography were performed.
RESULTS
A peripapillary multiple cotton wool spot, pale macula and cherry red spot were noted in the right eye. Fluorescein angiography showed arteriolar obstruction around the macula and leakage of the mild arteriolar fluorescein dye. At one month follow-up, macular edema, hemorrhage and peripapillary cotton wool spots were increased.
CONCLUSIONS
This case of Purtscher-like retinopathy following scleral fixation of the IOL did not have any obvious etiologic cause.