IgA Nephropathy Associated Hypertensive Retinopathy and Purtscher-Like Retinopathy


Çevik T. S., Kocaman Ata S., ÖZDAMAR EROL Y., Eser E. P.

Journal of VitreoRetinal Diseases, cilt.9, 2025 (ESCI, Scopus)

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 9
  • Basım Tarihi: 2025
  • Doi Numarası: 10.1177/24741264251366409
  • Dergi Adı: Journal of VitreoRetinal Diseases
  • Derginin Tarandığı İndeksler: Emerging Sources Citation Index (ESCI), Scopus
  • Anahtar Kelimeler: Purtscher retinopathy, Purtscher-like retinopathy, hypertensive retinopathy, IgA nephropathy
  • Sağlık Bilimleri Üniversitesi Adresli: Evet

Özet

Purpose: Purtscher-like retinopathy is a condition similar to Purtscher’s retinopathy but results from non-traumatic causes. Although its pathophysiology is not fully understood, it is thought to be related to the complement system. Renal diseases, which play a significant role in secondary hypertension, are known to be important in its etiology. Methods: Observational case report. Results: A 22-year-old male patient initially presented with vision-related findings, including both hypertensive retinopathy and Purtscher-like retinopathy, and on further investigation was diagnosed with IgA nephropathy with C3 immunocomplexes, a combination of poor prognostic factors, and rapidly progressive glomerulonephritis. Conclusions: The presence of both hypertensive retinopathy and Purtscher-like retinopathy in our patient indicates an advanced stage of ocular involvement. This emphasizes the critical role of ocular findings in the differential diagnosis and severity of systemic diseases.