Purtscher’s and Purtscher-like retinopathy etiology, features, management, and outcomes: A summative systematic review of 168 cases Article Swipe
Hashem Abu Serhan
,
Mohammad T. Abuawwad
,
Mohammad J. J. Taha
,
Amr K. Hassan
,
Luai Abu‐Ismail
,
Mohammad Delsoz
,
Hamzeh Mohammad Alrawashdeh
,
Hamad A Alkorbi
,
Obadah Moushmoush
,
Ayman G. Elnahry
·
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.1371/journal.pone.0306473
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.1371/journal.pone.0306473
Background To describe Purtscher’s and Purtscher-like retinopathy clinical features, etiologies, management options, and visual outcomes. Methods Our protocol was registered on PROSPERO [registration number: CRD42023406843 ]. Seven online databases were searched: PubMed, Scopus, Medline, ScienceDirect, CENTRAL, clinicaltrials.gov, and Google Scholar. Original articles were included if they reported at least one subject diagnosed with Purtscher’s or Purtscher-like retinopathy. The primary outcome is to describe the clinical features of Purtscher and Purtscher-like retinopathies, including etiologies, results of related investigations, management lines, and visual outcomes. All analyses were conducted with the use of Statistical Package for Social Sciences (SPSS) version 27 (IBM SPSS Corp, SPSS Statistics ver. 26, USA) and Cochrane’s RevMan software. The methodological quality of included studies was assessed using the NIH quality assessment tools. Results A total of 114 articles were included, describing 168 cases of Purtscher’s and Purtscher-like retinopathy. Patients were evenly distributed between males (50.89%) and females (49.11%). Average age of patients was 34.62 years old. Trauma was the leading cause of retinopathy, being reported in 39.88% of our patients, followed by systemic lupus erythematosus (SLE) (13.1%) and acute pancreatitis (11.9%). Bilateral symptoms were reported in 57.7% of patients with centrally blurred vision being the most complained symptom (OS: 34.32% and OD: 18%). 75% of patients elicited bilateral retinal findings. Cotton-wool spots were of highest prevalence (58%). Purtscher flecken was seen in 53% of patients. Macular edema was seen in 13% of patients. Overall, patients had a favorable prognosis (53%). Conclusion Purtscher’s and Purtscher-like retinopathies are rare sight-threatening retinopathies that develop most commonly following trauma or other systemic diseases as SLE and acute pancreatitis. Little data is available regarding these conditions, and available data is of low quality. Patients develop bilateral disease in approximately 50% of cases, and several retinal findings are observed, with no specific tendency. Most observed signs are cotton-wool spots in around 55% of patients and Purtscher flecken in 51% of patients. Patients spontaneously recovered, although data is not conclusive. No clear prognostic value of etiological factors is identified, and further research is required in this regard.
Related Topics
Concepts
Metadata
- Type
- review
- Language
- en
- Landing Page
- https://doi.org/10.1371/journal.pone.0306473
- OA Status
- gold
- Cited By
- 9
- References
- 134
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4402303758
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4402303758Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.1371/journal.pone.0306473Digital Object Identifier
- Title
-
Purtscher’s and Purtscher-like retinopathy etiology, features, management, and outcomes: A summative systematic review of 168 casesWork title
- Type
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reviewOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2024Year of publication
- Publication date
-
2024-09-06Full publication date if available
- Authors
-
Hashem Abu Serhan, Mohammad T. Abuawwad, Mohammad J. J. Taha, Amr K. Hassan, Luai Abu‐Ismail, Mohammad Delsoz, Hamzeh Mohammad Alrawashdeh, Hamad A Alkorbi, Obadah Moushmoush, Ayman G. ElnahryList of authors in order
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https://doi.org/10.1371/journal.pone.0306473Publisher landing page
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YesWhether a free full text is available
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goldOpen access status per OpenAlex
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https://doi.org/10.1371/journal.pone.0306473Direct OA link when available
- Concepts
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Medicine, Etiology, Retinopathy, Cochrane Library, Cotton wool spots, MEDLINE, Ophthalmology, Pediatrics, Internal medicine, Meta-analysis, Diabetes mellitus, Endocrinology, Political science, LawTop concepts (fields/topics) attached by OpenAlex
- Cited by
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9Total citation count in OpenAlex
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2025: 8, 2024: 1Per-year citation counts (last 5 years)
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134Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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| abstract_inverted_index.use | 88 |
| abstract_inverted_index.was | 18, 116, 154, 159, 221, 229 |
| abstract_inverted_index.(IBM | 98 |
| abstract_inverted_index.(OS: | 200 |
| abstract_inverted_index.Most | 299 |
| abstract_inverted_index.SPSS | 99, 101 |
| abstract_inverted_index.USA) | 105 |
| abstract_inverted_index.data | 267, 275, 321 |
| abstract_inverted_index.most | 197, 253 |
| abstract_inverted_index.old. | 157 |
| abstract_inverted_index.rare | 248 |
| abstract_inverted_index.seen | 222, 230 |
| abstract_inverted_index.that | 251 |
| abstract_inverted_index.they | 45 |
| abstract_inverted_index.this | 340 |
| abstract_inverted_index.ver. | 103 |
| abstract_inverted_index.were | 29, 42, 84, 130, 141, 185, 214 |
| abstract_inverted_index.with | 52, 86, 191, 295 |
| abstract_inverted_index.(SLE) | 177 |
| abstract_inverted_index.18%). | 204 |
| abstract_inverted_index.34.62 | 155 |
| abstract_inverted_index.57.7% | 188 |
| abstract_inverted_index.Corp, | 100 |
| abstract_inverted_index.Seven | 26 |
| abstract_inverted_index.acute | 180, 264 |
| abstract_inverted_index.being | 165, 195 |
| abstract_inverted_index.cases | 134 |
| abstract_inverted_index.cause | 162 |
| abstract_inverted_index.clear | 326 |
| abstract_inverted_index.edema | 228 |
| abstract_inverted_index.least | 48 |
| abstract_inverted_index.lupus | 175 |
| abstract_inverted_index.males | 145 |
| abstract_inverted_index.other | 258 |
| abstract_inverted_index.signs | 301 |
| abstract_inverted_index.spots | 213, 304 |
| abstract_inverted_index.these | 271 |
| abstract_inverted_index.total | 126 |
| abstract_inverted_index.using | 118 |
| abstract_inverted_index.value | 328 |
| abstract_inverted_index.years | 156 |
| abstract_inverted_index.(53%). | 241 |
| abstract_inverted_index.(58%). | 218 |
| abstract_inverted_index.(SPSS) | 95 |
| abstract_inverted_index.34.32% | 201 |
| abstract_inverted_index.39.88% | 168 |
| abstract_inverted_index.Google | 38 |
| abstract_inverted_index.Little | 266 |
| abstract_inverted_index.RevMan | 108 |
| abstract_inverted_index.Social | 93 |
| abstract_inverted_index.Trauma | 158 |
| abstract_inverted_index.around | 306 |
| abstract_inverted_index.cases, | 288 |
| abstract_inverted_index.evenly | 142 |
| abstract_inverted_index.lines, | 78 |
| abstract_inverted_index.online | 27 |
| abstract_inverted_index.tools. | 123 |
| abstract_inverted_index.trauma | 256 |
| abstract_inverted_index.vision | 194 |
| abstract_inverted_index.visual | 13, 80 |
| abstract_inverted_index.(13.1%) | 178 |
| abstract_inverted_index.Average | 150 |
| abstract_inverted_index.Macular | 227 |
| abstract_inverted_index.Methods | 15 |
| abstract_inverted_index.Package | 91 |
| abstract_inverted_index.PubMed, | 31 |
| abstract_inverted_index.Results | 124 |
| abstract_inverted_index.Scopus, | 32 |
| abstract_inverted_index.between | 144 |
| abstract_inverted_index.blurred | 193 |
| abstract_inverted_index.develop | 252, 281 |
| abstract_inverted_index.disease | 283 |
| abstract_inverted_index.factors | 331 |
| abstract_inverted_index.females | 148 |
| abstract_inverted_index.flecken | 220, 312 |
| abstract_inverted_index.further | 335 |
| abstract_inverted_index.highest | 216 |
| abstract_inverted_index.leading | 161 |
| abstract_inverted_index.number: | 23 |
| abstract_inverted_index.outcome | 59 |
| abstract_inverted_index.primary | 58 |
| abstract_inverted_index.quality | 112, 121 |
| abstract_inverted_index.regard. | 341 |
| abstract_inverted_index.related | 75 |
| abstract_inverted_index.results | 73 |
| abstract_inverted_index.retinal | 210, 291 |
| abstract_inverted_index.several | 290 |
| abstract_inverted_index.studies | 115 |
| abstract_inverted_index.subject | 50 |
| abstract_inverted_index.symptom | 199 |
| abstract_inverted_index.version | 96 |
| abstract_inverted_index.(11.9%). | 182 |
| abstract_inverted_index.(50.89%) | 146 |
| abstract_inverted_index.CENTRAL, | 35 |
| abstract_inverted_index.Medline, | 33 |
| abstract_inverted_index.Original | 40 |
| abstract_inverted_index.Overall, | 235 |
| abstract_inverted_index.PROSPERO | 21 |
| abstract_inverted_index.Patients | 140, 280, 317 |
| abstract_inverted_index.Scholar. | 39 |
| abstract_inverted_index.Sciences | 94 |
| abstract_inverted_index.although | 320 |
| abstract_inverted_index.analyses | 83 |
| abstract_inverted_index.articles | 41, 129 |
| abstract_inverted_index.assessed | 117 |
| abstract_inverted_index.clinical | 7, 64 |
| abstract_inverted_index.commonly | 254 |
| abstract_inverted_index.describe | 2, 62 |
| abstract_inverted_index.diseases | 260 |
| abstract_inverted_index.elicited | 208 |
| abstract_inverted_index.features | 65 |
| abstract_inverted_index.findings | 292 |
| abstract_inverted_index.followed | 172 |
| abstract_inverted_index.included | 43, 114 |
| abstract_inverted_index.observed | 300 |
| abstract_inverted_index.options, | 11 |
| abstract_inverted_index.patients | 153, 190, 207, 236, 309 |
| abstract_inverted_index.protocol | 17 |
| abstract_inverted_index.quality. | 279 |
| abstract_inverted_index.reported | 46, 166, 186 |
| abstract_inverted_index.required | 338 |
| abstract_inverted_index.research | 336 |
| abstract_inverted_index.specific | 297 |
| abstract_inverted_index.symptoms | 184 |
| abstract_inverted_index.systemic | 174, 259 |
| abstract_inverted_index.(49.11%). | 149 |
| abstract_inverted_index.Bilateral | 183 |
| abstract_inverted_index.Purtscher | 67, 219, 311 |
| abstract_inverted_index.available | 269, 274 |
| abstract_inverted_index.bilateral | 209, 282 |
| abstract_inverted_index.centrally | 192 |
| abstract_inverted_index.conducted | 85 |
| abstract_inverted_index.databases | 28 |
| abstract_inverted_index.diagnosed | 51 |
| abstract_inverted_index.favorable | 239 |
| abstract_inverted_index.features, | 8 |
| abstract_inverted_index.findings. | 211 |
| abstract_inverted_index.following | 255 |
| abstract_inverted_index.included, | 131 |
| abstract_inverted_index.including | 71 |
| abstract_inverted_index.observed, | 294 |
| abstract_inverted_index.outcomes. | 14, 81 |
| abstract_inverted_index.patients, | 171 |
| abstract_inverted_index.patients. | 226, 234, 316 |
| abstract_inverted_index.prognosis | 240 |
| abstract_inverted_index.regarding | 270 |
| abstract_inverted_index.searched: | 30 |
| abstract_inverted_index.software. | 109 |
| abstract_inverted_index.tendency. | 298 |
| abstract_inverted_index.Background | 0 |
| abstract_inverted_index.Conclusion | 242 |
| abstract_inverted_index.Statistics | 102 |
| abstract_inverted_index.assessment | 122 |
| abstract_inverted_index.complained | 198 |
| abstract_inverted_index.describing | 132 |
| abstract_inverted_index.management | 10, 77 |
| abstract_inverted_index.prevalence | 217 |
| abstract_inverted_index.prognostic | 327 |
| abstract_inverted_index.recovered, | 319 |
| abstract_inverted_index.registered | 19 |
| abstract_inverted_index.Cotton-wool | 212 |
| abstract_inverted_index.Statistical | 90 |
| abstract_inverted_index.conclusive. | 324 |
| abstract_inverted_index.conditions, | 272 |
| abstract_inverted_index.cotton-wool | 303 |
| abstract_inverted_index.distributed | 143 |
| abstract_inverted_index.etiological | 330 |
| abstract_inverted_index.etiologies, | 9, 72 |
| abstract_inverted_index.identified, | 333 |
| abstract_inverted_index.retinopathy | 6 |
| abstract_inverted_index.Cochrane’s | 107 |
| abstract_inverted_index.pancreatitis | 181 |
| abstract_inverted_index.retinopathy, | 164 |
| abstract_inverted_index.retinopathy. | 56, 139 |
| abstract_inverted_index.Purtscher’s | 3, 53, 136, 243 |
| abstract_inverted_index.[registration | 22 |
| abstract_inverted_index.approximately | 285 |
| abstract_inverted_index.erythematosus | 176 |
| abstract_inverted_index.pancreatitis. | 265 |
| abstract_inverted_index.retinopathies | 246, 250 |
| abstract_inverted_index.spontaneously | 318 |
| abstract_inverted_index.CRD42023406843 | 24 |
| abstract_inverted_index.Purtscher-like | 5, 55, 69, 138, 245 |
| abstract_inverted_index.ScienceDirect, | 34 |
| abstract_inverted_index.methodological | 111 |
| abstract_inverted_index.retinopathies, | 70 |
| abstract_inverted_index.investigations, | 76 |
| abstract_inverted_index.sight-threatening | 249 |
| abstract_inverted_index.clinicaltrials.gov, | 36 |
| cited_by_percentile_year.max | 99 |
| cited_by_percentile_year.min | 90 |
| countries_distinct_count | 5 |
| institutions_distinct_count | 10 |
| citation_normalized_percentile.value | 0.97277677 |
| citation_normalized_percentile.is_in_top_1_percent | False |
| citation_normalized_percentile.is_in_top_10_percent | True |