Purtscher-like retinopathy with serous macular detachment in
Purtscher-like retinopathy has been rarely reported to have an association with pre-eclampsia. It is characterized by cotton-wool patches, retinal whitening and superficial retinal hemorrhages. Serous macular detachment (SMD) has a common association of pre-eclampsia and it does not occur in Purtscher-like retinopathy.

The present case has been reported in the Oxford Medical Case Reports. A 21-year-old woman presented with blurred visual acuity in both eyes occurring 3 days after delivery. Her visual acuity was hand motions in both eyes. Anterior segment findings and intraocular pressures were unremarkable in both eyes.

Fundus examination showed multiple discrete yellowish cotton-wool spots at the posterior pole in both eyes. A fluorescein angiogram was not performed. She had a history of pre-eclampsia and un-complicated delivery.

All laboratory investigations, systemic evaluations and blood pressure were normal at presentation. Optic coherence tomography (OCT) showed SMD, intraretinal fluid and hyperreflectivity in the inner retinal layers, explaining cotton-wool exudation in both eyes. Fundus autofluorence displayed decreased reflectance coming from the same area.

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