片眼性Purtscher病の1例

A case of unilateral Purtscher's retinopathy

　地震時の胸部打撲が原因と思われるPurtscher病を報告した。本例は検眼鏡的にも螢光眼底像でも片眼性であり，受傷直後に存在しなかつた出血が1週間後に認められるという興味ある経過をとつた。

Typical unilateral Purtscher's retinopathy devel-oped in a 44-year-old male following severe compression injury to the chest during a major earthquake. When seen one day after the acci-dent, the left eye showed numerous fluffy white exudates around the optic disc. Fundus hemor-rhage was absent. Fluorescein angiography revealed multiple capillary non-perfusion areas followed by leakage of dye corresponding to the sites of exudates. One week after the accident, several flame-shaped hemorrhages were present around the exudates in the left eye.