Unilateral Purtscher's Retinopathy

A 23 year old man presented to our casualty with sudden decrease in vision in the left eye of 1 day duration following a road traffic accident. He sustained chest injuries, with fracture of ribs and leg. On examination his vision in the left eye was counting fingers at 1m, had minimal restriction of ocular movements and grade 3 RAPD rest of anterior segment examination was normal. Fundus examination revealed multiple areas of superficial retinal hemorrhages and multiple patches of retinal edema at the posterior pole. OCT showed gross macular edema. He was managed conservatively. On follow up his ocular movements improved, macular edema substantially decreased but there was no improvement in visual acuity. This case is presented for rarity of purtschers retinopathy as a uniocular phenomenon.