{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T00:57:26Z","timestamp":1783472246456,"version":"3.55.0"},"reference-count":5,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2015,10,21]],"date-time":"2015-10-21T00:00:00Z","timestamp":1445385600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["European Journal of Ophthalmology"],"published-print":{"date-parts":[[2015,12]]},"abstract":"\n Purpose<\/jats:title>\n To report a case of Purtscher retinopathy and its therapeutic approach.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n In this observational case report, complete ophthalmologic examination was performed, including best-corrected visual acuity (BCVA) testing, slit-lamp biomicroscopy, dilated fundus examination, spectral-domain optical coherence tomography (OCT), fluorescein angiography (FA), and Humphrey 24\u20132 visual field testing.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n The patient complained of right eye diminished visual acuity 48 hours after a car accident, with severe thoracic and abdominal blunt trauma but no direct ocular trauma. The BCVA was counting fingers at 1 meter, anterior segment examination was unremarkable, and the fundus showed cotton-wool spots and Purtscher flecken. Macular OCT revealed subretinal fluid with neurosensorial retinal detachment. The FA showed peripapillary and parafoveal leakage and visual field testing presented a central scotoma. We opted for an observation-only approach. Follow-up revealed a progressive reabsorption of the subretinal fluid with complete resolution of the macular neurosensorial retinal detachment after 2 weeks. After 2 months of follow-up, BCVA was 20\/25 and the OCT revealed atrophic changes, with no subretinal fluid. The favorable outcome in terms of BCVA persisted at 4 and 6 months follow-up, although the central scotoma did not improve significantly.<\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n The characterization of both acute and late-stage lesions provides a valuable insight to a better characterization of this rare disease. Despite a favorable response with a conservative therapeutic approach, structural and functional late stage sequelae influence the final visual outcome.<\/jats:p>\n <\/jats:sec>","DOI":"10.5301\/ejo.5000623","type":"journal-article","created":{"date-parts":[[2015,5,18]],"date-time":"2015-05-18T06:24:45Z","timestamp":1431930285000},"page":"e112-e115","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":12,"title":["Purtscher Retinopathy: To Treat or Not to Treat?"],"prefix":"10.1177","volume":"25","author":[{"given":"Pedro","family":"Gil","sequence":"first","affiliation":[{"name":"Centro Hospitalar Baixo Vouga, Aveiro - Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joana","family":"Pires","sequence":"additional","affiliation":[{"name":"Centro Hospitalar Baixo Vouga, Aveiro - Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Esmeralda","family":"Costa","sequence":"additional","affiliation":[{"name":"Centro Hospitalar Universit\u00e1rio de Coimbra, Coimbra - Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rita","family":"Matos","sequence":"additional","affiliation":[{"name":"Centro Hospitalar Baixo Vouga, Aveiro - Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mariana S\u00e1","family":"Cardoso","sequence":"additional","affiliation":[{"name":"Centro Hospitalar Baixo Vouga, Aveiro - Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manuel","family":"Mariano","sequence":"additional","affiliation":[{"name":"Centro Hospitalar Baixo Vouga, Aveiro - Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2015,10,21]]},"reference":[{"key":"bibr1-ejo.5000623","doi-asserted-by":"publisher","DOI":"10.1136\/bjo.2007.117408"},{"key":"bibr2-ejo.5000623","doi-asserted-by":"publisher","DOI":"10.1016\/j.survophthal.2005.12.003"},{"key":"bibr3-ejo.5000623","doi-asserted-by":"publisher","DOI":"10.1038\/eye.2012.222"},{"key":"bibr4-ejo.5000623","doi-asserted-by":"publisher","DOI":"10.1097\/ICB.0b013e3181d42706"},{"key":"bibr5-ejo.5000623","doi-asserted-by":"publisher","DOI":"10.1016\/j.survophthal.2006.10.012"}],"container-title":["European Journal of Ophthalmology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.5301\/ejo.5000623","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.5301\/ejo.5000623","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.5301\/ejo.5000623","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T19:39:51Z","timestamp":1777405191000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.5301\/ejo.5000623"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,10,21]]},"references-count":5,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2015,12]]}},"alternative-id":["10.5301\/ejo.5000623"],"URL":"https:\/\/doi.org\/10.5301\/ejo.5000623","relation":{},"ISSN":["1120-6721","1724-6016"],"issn-type":[{"value":"1120-6721","type":"print"},{"value":"1724-6016","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,10,21]]}}}