{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,9]],"date-time":"2026-03-09T21:39:26Z","timestamp":1773092366978,"version":"3.50.1"},"reference-count":11,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2016,8,28]]},"abstract":"<jats:p>A 28-year-old man presented with a sudden onset of visual loss in both eyes (OU). He had a known history of acute pancreatitis and hepatitis following alcohol abuse. Examination of the anterior segment of the eye revealed non-sustained pupillary light reaction. The fundus showed typical Purtscher's flecken over the posterior pole with multiple cotton wool spots and retinal superficial haemorrhages in OU. Fundus fluorescein angiogram revealed abnormal hypofluorescence in both the posterior poles. Optical coherence tomography (OCT) for Purtscher's flecken showed abnormal retinal thickening with hyper-reflective areas in the inner neurosensory layers. The patient responded favourably to high-dose corticosteroid therapy (1.5\u2005mg\/kilogram per body weight) with a tapering dose. There was a mild reduction of the ischaemic areas with a corresponding improvement in visual acuity. This case has been presented owing to its rarity and under-reporting. Treatment with corticosteroids yielded favourable results.<\/jats:p>","DOI":"10.1136\/bcr-2016-215485","type":"journal-article","created":{"date-parts":[[2016,9,14]],"date-time":"2016-09-14T11:28:25Z","timestamp":1473852505000},"page":"bcr2016215485","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":4,"title":["Purtscher's-like retinopathy in acute alcoholic pancreatitis"],"prefix":"10.1136","volume":"2016","author":[{"given":"Praveen","family":"Subudhi","sequence":"first","affiliation":[{"name":"Department of Ophthalmology, Ruby Eye Hospital, Berhampur, Odisha, India"},{"name":"Department of Ophthalmology, KIMS, Bhubaneswar, Odisha, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sanghamitra","family":"Kanungo","sequence":"additional","affiliation":[{"name":"Kar vision eye hospital, Bhubaneswar, Odisha, India"},{"name":"Ruby Eye Hospital, Berhampur, Odisha, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nageswar","family":"Rao Subudhi","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, M.K.C.G Medical College, Berhampur, Odisha, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2016,9,14]]},"reference":[{"key":"2025082800330911000_2016.sep14_1.bcr2016215485.1","doi-asserted-by":"publisher","DOI":"10.1136\/bjo.2007.117408"},{"key":"2025082800330911000_2016.sep14_1.bcr2016215485.2","first-page":"294","article-title":"Noch unbekannte befunde nach schadeltrauma","volume":"36","author":"Purtscher","year":"1910","journal-title":"Ber Dtsch Ophthalmol Ges"},{"key":"2025082800330911000_2016.sep14_1.bcr2016215485.3","doi-asserted-by":"publisher","DOI":"10.1038\/eye.2012.222"},{"key":"2025082800330911000_2016.sep14_1.bcr2016215485.4","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajo.2014.09.001"},{"key":"2025082800330911000_2016.sep14_1.bcr2016215485.5","first-page":"1159","article-title":"Frequency of Purtscher's retinopathy","volume":"92","author":"Holl\u00f3","year":"2008","journal-title":"Br J Ophthalmol"},{"key":"2025082800330911000_2016.sep14_1.bcr2016215485.6","first-page":"161","article-title":"Acute pancreatitis presenting as sudden blindness]","volume":"81","author":"L\u00f3pez-Tiz\u00f3n","year":"2006","journal-title":"Arch Soc Esp Oftalmol"},{"key":"2025082800330911000_2016.sep14_1.bcr2016215485.7","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(11)60474-1"},{"key":"2025082800330911000_2016.sep14_1.bcr2016215485.8","doi-asserted-by":"publisher","DOI":"10.1097\/ICB.0000000000000134"},{"key":"2025082800330911000_2016.sep14_1.bcr2016215485.9","doi-asserted-by":"publisher","DOI":"10.1136\/bjophthalmol-2014-304900"},{"key":"2025082800330911000_2016.sep14_1.bcr2016215485.10","doi-asserted-by":"publisher","DOI":"10.1016\/S0021-5155(98)00015-X"},{"key":"2025082800330911000_2016.sep14_1.bcr2016215485.11","first-page":"330","article-title":"Late visual recovery after intravenous methyl prednisolone treatment of Purtscher's retinopathy","volume":"25","author":"Atabay","year":"1993","journal-title":"Ann Ophthalmology"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2016-215485","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T07:33:20Z","timestamp":1756366400000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2016-215485"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,9,14]]},"references-count":11,"alternative-id":["10.1136\/bcr-2016-215485"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2016-215485","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,9,14]]}}}