Dovepress Neovascularization in Purtscher’s retinopathy swelling, which was present in both eyes at the time of pre- sentation, has been suggested as a prognostic factor associ- ated with poor outcome and may also help explain the poor visual outcome.2 In conclusion, Purtscher’s retinopathy in the setting of trauma can rarely lead to neovascularization and ischemia. Even with treatment, visual prognosis can be guarded. Figure 4 Color photographs of the right (A) and left (B) eyes 5 months after pan-retinal photocoagulation, demonstrating regression of neovascularization of the Disclosure disk. Optic atrophy and pallor are present. The authors report no conflicts of interest in this work. To our knowledge, this is the first reported case of neovas- cularization secondary to traumatic Purtscher’s retinopathy treated with panretinal photocoagulation. This case illustrates that retinal ischemia can be severe enough in Purtscher’s retinopathy for neovascularization to occur. Sturm et al described similar findings in two children with hemolytic uremic syndrome, one of whom required laser photocoagu- lation for bilateral rubeosis irides and neovascularization of the disk.4 Vision was poor as a result of optic atrophy. It is unclear why our patient did not develop neovascularization in both eyes. The presence of ischemia certainly contributed to poor visual outcome in the left eye of our patient. Optic disk 78–283. 1096–1105. References 1. Purtscher O. [Unknown findings after head trauma.]. Berl Dtsch Ophthal Ges. 1910;36:294–301. German. 2. Agrawal A. McKibbin Purtscher’s and Purtscher-like retinopathies: a review. Surv Ophthalmol. 2006;51(2):129–136. 3. Prammer G. Disturbances of the retinal vessels as a result of Purtscher’s retinopathy (author’s transl). Klin Monbl Augenheilkd. 1976;168(6): 840–843. German. 4. Sturm V, Menke MN, Landau K, Laube GF, Neuhaus TJ. Ocular involve- ment in paediatric haemolytic uraemic syndrome. Acta Ophthalmol. 2010;88(7):804–807. 5. Kelly JS. Purtcher’s retinopathy related to chest compression by safety belts: fluorescein angiographic findings.Am J Ophthalmol. 1972;74(2):2 6. Blodi B, Johnson MW, Gass JD, Fine SL, Joffe LM. Purtcher’s-like retinopathy after childbirth. Ophthalmology. 1990;97(12):1654–1659. 7. BurtonTC. Unilateral Purtcher’s retinopathy. Ophthalmology. 1980;87(11): Clinical Ophthalmology Publish your work in this journal Clinical Ophthalmology is an international, peer-reviewed journal covering all subspecialties within ophthalmology. Key topics include: Optometry; Visual science; Pharmacology and drug therapy in eye diseases; Basic Sciences; Primary and Secondary eye care; Patient Safety and Quality of Care Improvements. This journal is indexed on Submit your manuscript here: http://www.dovepress.com/clinical-ophthalmology-journal Clinical Ophthalmology 2011:5 Dovepress PubMed Central and CAS, and is the official journal of The Society of Clinical Ophthalmology (SCO). The manuscript management system is completely online and includes a very quick and fair peer-review system, which is all easy to use. Visit http://www.dovepress.com/ testimonials.php to read real quotes from published authors. submit your manuscript | www.dovepress.com Dovepress 1587