A case of Purtscher's disease(traumatic retinal angiopathy) following multiple facial bone fracture.

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Due to the fracture of upper two thirds of the face, especially the fracture of orbital region, severe ophthalmic complication, for example, blindness, can take place as a result of direct injury to optic nerve.<BR>However, it is known that following distant trauma of the thorax or abdomen, but without directly affecting eyes, descrease of visual acuity occurs which is caused by retinal hemorrhages and white patches of exudation.<BR>Purtscher, in 1910, first described retinal hemorrhages and whitish plaques ocurring in both eyes of a patient following a fall from a roof. Since then, this disease is known as Purtscher's retinopathy.<BR>Recently, we encountered a patient affected with Purtscher's disease following multiple facial bone fractures which resulted in severe visual loss.<BR>In this paper, we presented this case and the previous report on this disease is reviewed.
社団法人日本口腔外科学会の論文