ReviewMiddle East African journal of ophthalmology
Bilateral Combined Central Retinal Artery and Vein Occlusion in a Child with Purtscher Retinopathy: A Case Report and Review of the Literature.
Review in Middle East African journal of ophthalmology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Purtscher retinopathy is a hemorrhagic and vaso-occlusive vasculopathy that results from head trauma. Typically, patients present with sudden onset of painless reduction in visual acuity and a group of retinal findings including retinal hemorrhages, retinal whitening, and optic disc edema. The objectives of the study were to describe the rare occurrence of combined central retinal artery and central vein occlusion in a child with Purtscher retinopathy and to illustrate the course of visual recovery and anatomical changes over 6 months of follow-up. The data were collected from the patient file including circumstances of presentation, visual acuity, anterior segment examination, fundus photography, fundus fluorescein angiography (FFA), B scan ultrasonography (B scan), and optical coherence tomography (OCT). Follow-ups over a 6-month period with repeated imaging were documented. A 6-year-old boy presented with a complaint of bilateral vision loss which occurred 2 days after falling out of high bed. On examination, visual acuity was hand motion bilaterally. External and anterior segments exhibited regular examination, apart from traumatic iritis in both eyes. Posterior segment examination showed intraretinal hemorrhages, retinal whitening bilaterally, and exudative retinal detachment, which was confirmed by OCT and B-scan. FFA of both the eyes showed delayed arterial and venous filling with macular hypoperfusion. Comprehensive systemic workup including brain imaging, hematology, immunology, and uveitis screening was negative. The patient was treated with a high-dose oral steroid. Six months later, his vision improved to 20/40 OD and 20/28 OS. Fundus examination and OCT showed peripheral retinal atrophy but preserved subfoveal outer retinal layers, which explained the visual improvement. Treatment with corticosteroids seems to be effective in reducing retinal edema and hastened visual recovery in patients with Purtscher retinopathy. Cilioretinal artery sparing can preserve the central vision in cases with combined artery and vein occlusion.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.