We present a case of Purtscher-like retinopathy (PLR) following carotid angioplasty and stenting (CAS). A 56-year-old man with a history of severe stenosis of the left carotid artery and treated by CAS refers acute and painless visual loss on the left eye (OS) 48 h after the procedure. Funduscopic examination showed cotton wool spots and intraretinal hemorrhages confined to the peripapillary and posterior pole of the OS. The optical coherence tomography (OCT) showed retinal thickening and hyperintense lesions in the inner nuclear layer retina.
AgrawalAMcKibbinMA. Purtscher’s and Purtscher-like retinopathies: a review. Surv Ophthalmol2006; 51: 129–136.
2.
JaegerHJMathiasKDHauthE, et al.Cerebral ischemia detected with diffusion- weighted MR imaging after stent implantation in the carotid artery. AJNR Am J Neuroradiol2002; 23(2): 200–207.
3.
CastilloBVKhanAMGieserR,et al.Purtscher-like retinopathy and Horner’s syndrome following coil embolization of an intracavernous carotid artery aneurysm. Graefes Arch Clin Exp Ophthalmol2005; 243: 60–62.
4.
QaziSPalakkamanilMMSiaDIT,et al.Carotid artery dissection associated with Purtscher-like retinopathy. Can J Ophthalmol2020; 55: e77–e79.
5.
SchnaudigelSGröschelKPilgramSM,et al.New brain lesions after carotid stenting versus carotid endarterectomy: a systematic review of the literature. Stroke2008; 39: 1911–1919.
6.
ChenSNHwangJFHuangJ,et al.Retinal arterial occlusion with multiple retinal emboli and carotid artery occlusion disease. Haemodynamic changes and pathways of embolism. BMJ Open Ophthalmol2020; 5: e000467.
7.
Hernández-AlmeidaSReche-SainzJARuiz-ArranzC,et al.Purtscher-like retinopathy after a stent implant for the treatment of carotid aneurysm. Arch Soc Esp Oftalmol Engl Ed2021; 96: 488–491.
8.
Proença PinaJSsi-Yan-KaiKde MonchyI,et al.Pseudo-rétinopathie de Purtscher : à propos d’un cas et revue de la littérature. J Fr Ophtalmol2008; 31: 609–613.