RESUMEN
CASE REPORT: A 36-year-old man with a history of alcohol abuse presented with sudden blindness. The ophthalmologic examination showed Purtscher-like retinopathy. The presumed diagnosis was acute pancreatitis, which was confirmed by complementary laboratory studies. DISCUSSION: Sudden acute visual loss with Purstcher-like retinopathy may be present in acute pancreatitis, although it is a very rare as a presenting symptom. Early diagnosis based on ophthalmic symptoms may help in the recognition and treatment of the disease and prevent later complications.
Asunto(s)
Ceguera/etiología , Pancreatitis Alcohólica/complicaciones , Enfermedades de la Retina/complicaciones , Adulto , Ceguera/diagnóstico , Ceguera/tratamiento farmacológico , Angiografía con Fluoresceína , Fondo de Ojo , Humanos , Masculino , Pancreatitis Alcohólica/diagnóstico , Pancreatitis Alcohólica/tratamiento farmacológico , Enfermedades de la Retina/diagnóstico , Enfermedades de la Retina/tratamiento farmacológico , Resultado del Tratamiento , Agudeza VisualRESUMEN
Caso clínico: Paciente varón de 36 años de edadcon historia de abuso de alcohol y con pérdida bruscade visión. La exploración oftalmológica mostróuna retinopatía tipo Purstcher y permitió, tras losestudios de laboratorio y de imagen complementarios,el diagnóstico de una pancretitis aguda incipiente.Discusión: La presentación de una pancreatitis agudacon pérdida brusca de visión y retinopatía tipoPurstcher como síntoma de presentación, previos alcuadro abdominal, es excepcional. Sin embargo, sedebe tener en cuenta esta posibilidad, a fin de efectuarun diagnóstico y tratamiento precoces
Case report: A 36-year-old man with a history of ;;alcohol abuse presented with sudden blindness. The ;;ophthalmologic examination showed Purtscher-like ;;retinopathy. The presumed diagnosis was acute ;;pancreatitis, which was confirmed by complementary ;;laboratory studies. ;;Discussion: Sudden acute visual loss with Purstcher- ;;like retinopathy may be present in acute pancreatitis, ;;although it is a very rare as a presenting ;;symptom. Early diagnosis based on ophthalmic ;;symptoms may help in the recognition and treatment ;;of the disease and prevent later complications