ABSTRACT
CASE REPORT: A 36-year-old man with a history of alcohol abuse presented with sudden blindness. The ophthalmologic examination showed Purtscher-like retinopathy. The presumed diagnosis was acute pancreatitis, which was confirmed by complementary laboratory studies. DISCUSSION: Sudden acute visual loss with Purstcher-like retinopathy may be present in acute pancreatitis, although it is a very rare as a presenting symptom. Early diagnosis based on ophthalmic symptoms may help in the recognition and treatment of the disease and prevent later complications.
Subject(s)
Blindness/etiology , Pancreatitis, Alcoholic/complications , Retinal Diseases/complications , Adult , Blindness/diagnosis , Blindness/drug therapy , Fluorescein Angiography , Fundus Oculi , Humans , Male , Pancreatitis, Alcoholic/diagnosis , Pancreatitis, Alcoholic/drug therapy , Retinal Diseases/diagnosis , Retinal Diseases/drug therapy , Treatment Outcome , Visual AcuityABSTRACT
Caso clínico: Paciente varón de 36 años de edadcon historia de abuso de alcohol y con pérdida bruscade visión. La exploración oftalmológica mostróuna retinopatía tipo Purstcher y permitió, tras losestudios de laboratorio y de imagen complementarios,el diagnóstico de una pancretitis aguda incipiente.Discusión: La presentación de una pancreatitis agudacon pérdida brusca de visión y retinopatía tipoPurstcher como síntoma de presentación, previos alcuadro abdominal, es excepcional. Sin embargo, sedebe tener en cuenta esta posibilidad, a fin de efectuarun diagnóstico y tratamiento precoces
Case report: A 36-year-old man with a history of ;;alcohol abuse presented with sudden blindness. The ;;ophthalmologic examination showed Purtscher-like ;;retinopathy. The presumed diagnosis was acute ;;pancreatitis, which was confirmed by complementary ;;laboratory studies. ;;Discussion: Sudden acute visual loss with Purstcher- ;;like retinopathy may be present in acute pancreatitis, ;;although it is a very rare as a presenting ;;symptom. Early diagnosis based on ophthalmic ;;symptoms may help in the recognition and treatment ;;of the disease and prevent later complications