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  • Title: Morphologic changes of the macula in a patient with Purtscher's retinopathy.
    Author: Remky A, Arend O, Wolf S, Bertram B, Reim M.
    Journal: Ophthalmologica; 1997; 211(4):268-9. PubMed ID: 9216022.
    Abstract:
    Purtscher's retinopathy is a rare complication after trauma to the chest or bone fractures. We report about a patient, which we examined 6 months after a serious car accident. Visual acuity was 20/20 in both eyes. Examination with the Amsler grid revealed a paracentral scotoma in the left eye. In the fluorescein angiography of the left eye performed with a scanning laser ophthalmoscope we found capillary dropout, which corresponded well to the scotoma. Measured by digital image analysis, the area of the foveal avascular zone was eccentrically enlarged by a factor of 4. The mean perifoveal intercapillary area was also enlarged in the corresponding quadrant. This reflects that focal capillary dropout may result in scotoma rather than in a decrease in visual acuity as reported in other diseases.
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