Abstract
PURPOSE: Purtscher-like Retinopathy after otorhinolaryngological surgery is extremely rare. In this case report we present a patient with Purtscher-like Retinopathy after endoscopic surgery of the left sphenopalatine artery. OBSERVATIONS: A 62-year-old woman presented herself with painless vision reduction one day after endoscopic treatment of the left sphenopalatine artery with an incidental opening of the dura. The funduscopic examination revealed bilaterally multiple peripapillary cotton wool spots as well as a single retinal hemorrhage superior of the optic disc. The clinical findings resolved over the following weeks, and the patient showed a self-limiting improvement of the visual acuity. CONCLUSION AND IMPORTANCE: The case suggests Purtscher-like Retinopathy as a complication after incidental dural opening in endoscopic treatment of the left sphenopalatine artery.