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KMID : 0360220210620030408
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Journal of the Korean Ophthalmological Society
2021 Volume.62 No. 3 p.408 ~ p.413
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Purtscher-like Retinopathy after Aortic Valve Replacement Surgery
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Lee Seung-Hyeun
Kim Jee-Taek
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Abstract
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Purpose: We report a case of Purtscher-like retinopathy after aortic valve replacement surgery.
Case summary: A 52-year-old male with bacteremia suspicious of infectious endocarditis was referred to our department for ophthalmic examination. Inflammatory reaction was evident in both anterior chambers. Fundus examination revealed infiltrative lesions with a Roth spot, and the patient was diagnosed with chorioretinitis. After 3 days, aortic valve replacement surgery was performed in the cardiac surgery department using cardioplegic solutions. Ophthalmologic exams were repeated after the valve surgery. The Roth spot had disappeared and infiltrated, leaving a clear margin. An anterior chamber cell was not noted.
However, there were newly developed peripapillary superficial cotton-wool spots and delayed hemorrhagic lesions. Based on the medical history and specific pathognomonic fundus findings, the patient was diagnosed with Purtscher-like retinopathy. Four months later, all characteristic funduscopic features of Purtscher-like retinopathy had disappeared, leaving a remaining retinal nerve fiber defect and central visual field defect without any ophthalmologic treatment.
Conclusions: Although rare, doctors should be aware of the possibility of Purtscher-like retinopathy after valve replacement surgery. Further studies are needed to understand the unknown pathophysiology of Purtscher-like retinopathy.
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KEYWORD
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Chorioretinitis, Purtscher-like retinopathy, Valve replacement surgery
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