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Photo courtesy of: Patrick Ma, M.D. Used with permission. Not to be reproduced.

A 25-year-old woman involved in a motor vehicle accident with severe trauma and revived in the field with cardiopulmonary resuscitation (CPR) awoke in the intensive care unit (ICU) with bilateral decreased vision (20/200 OU) and the following appearance on dilated exam.  The patient has bilateral cotton-wool spots, striate retinal hemorrhages, and retinal edema.

These findings are most consistent with:

d -- Purtscher's retinopathy Purtscher's Retinopathy Purtscher's retinopathy is described as a retinal angiopathy associated with bodily trauma, especially chest compressions (CPR) and long bone fractures. There is no effective medical or surgical management of this disease. It is theorized that this is caused by fat/air emboli, increased venous pressure, and endothelial damage.