Fig. 1

Clinical and optical coherence tomography (OCT) findings of a 33-year-old man diagnosed with Purtscher-like retinopathy at presentation: A, B: Dilated fundus examination of both eyes shows confluent polygonal areas of retinal whitening (black arrow) and a small number of retinal hemorrhages (red arrow) and some cotton-wool spots (blue arrow) over the posterior pole and on both sides of the optic disc. The remainder of the retinal periphery and the optic nerve head appeared normal. Sparing of the retina at the papillomacular bundle was noted (pink arrow). C, D: Spectralis (Heidelberg Engineering, Germany) OCT scans were performed using the horizontal line-raster protocol for both eyes over the macula. The horizontal line scans passing through the macula revealed dense inner retinal opacification and thickening and loss of inner retinal layer stratification (red arrow), as well as outer retinal layer shadowing (yellow arrow). In addition, areas of retinal opacification in both eyes exhibited islands of ILM separation (orange arrow) and posterior vitreous hyperreflective dots (white arrow) and minimal subfoveal fluid. Sparing of the retinal layers at the papillomacular bundle adjacent to the temporal margin of the optic disc was noted in the right eye (pink arrow)