Spectral domain optical coherence tomography imaging of Purtscher-like retinopathy

Brandon J. Lujan, Patrick A. Coady, H. Richard McDonald

Research output: Contribution to journalArticlepeer-review

7 Scopus citations


Purpose: To report spectral domain optical coherence tomography findings in a patient with Purtscher-like retinopathy. Methods: Case report, image analysis, and literature review. Results: A 71-year-old woman presented with decreased vision, cotton-wool spots, and a deep whitish polygonal lesion in her left eye, which was hyperreflective on spectral domain optical coherence tomography. She was diagnosed with Purtscher-like retinopathy and later was found to have metastatic pancreatic cancer. Conclusion: Purtscher-like retinopathy can occur secondary to malignant pancreatic cancer. Purtscher-flecken can be characterized by cross-sectional and en face spectral domain optical coherence tomography and represent deep capillary ischemia.

Original languageEnglish (US)
Pages (from-to)283-285
Number of pages3
JournalRetinal Cases and Brief Reports
Issue number4
StatePublished - 2014
Externally publishedYes


  • Cancer
  • Cirrus
  • Cottonwool spot
  • En face
  • Ischemia
  • Metastasis
  • Pancreatic cancer
  • Paracentral acute middle maculopathy
  • Purtscher-flecken
  • Retinal whitening

ASJC Scopus subject areas

  • Ophthalmology


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