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Middle East African Journal of Ophthalmology Middle East African Journal of Ophthalmology
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Year : 2016  |  Volume : 23  |  Issue : 2  |  Page : 219-221

Purtscher-like retinopathy as a rare presentation of cryoglobulinemia

Department B of Ophthalmology, Faculty of Medicine of Tunis, Hedi Rais Institute of Ophthalmology, University of El Manar, Tunis, Tunisia

Correspondence Address:
Ahmed Chebil
Boulevard 9 Avril, 1006 Bab Saadoun, Tunis
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0974-9233.177409

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Purtscher's retinopathy is a rare condition that is noted in cases related to various types of trauma. The characteristic finding in the fundus is the presence of multiple Purtscher flecken. Purtscher-like retinopathy has a similar presentation in the fundus but is not associated with trauma. We report the case of a 55-year-old male who presented a severe visual loss during course of a hepatitis C infection. Ophthalmic examination indicated peripapillary cotton wool spots and superficial retinal whitening in the macula. Cryoglobulinemia complicating hepatitis C was discovered in this patient. Purtscher-like retinopathy as a rare presentation of cryoglobulinemia should be considered in patients with a history of hepatitis infection.

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