Chan et al Visual acuity was 20/400 in the right eye and counting fingers at 5 feet in the left eye. An afferent pupillary defect was not present. Intraocular pressure was 21 mmHg in the right eye and 19 mmHg in the left eye. Slit lamp examina- tion revealed trace cell in the anterior vitreous in the right eye. Dilated fundus examination revealed disk edema, retinal whitening, and retinal hemorrhages in both eyes (Figure 1A and B). Optical coherence tomography showed atrophy of the temporal retina and disruption of the inner segment–outer segment junction of the photoreceptor layer in the right eye (Figure 1C and E) with thickening and edema of the nasal macula, and central foveal hyper-reflectivity consistent with a scar in the left eye (Figure 1D). One month later, the right eye was without neovascularization (Figure 2) and the patient was found to have neovascularization of the disk and ischemia in the mid-periphery in the left eye (Figure 3). He underwent uncomplicated pan-retinal photocoagulation. At the last follow-up, 5 months after his initial presentation, visual acuity had slightly improved to 20/200 in the right eye and 20/300 in the left eye. The neovascularization had regressed (Figure 4), and he was referred to low vision services. Dovepress Figure 2 (A) Color photograph and (B) fluorescein angiogram of the right eye 1 month after presentation. Discussion Conditions that can have funduscopic findings similar to Purtscher’s retinopathy include: compressive chest trauma, hydrostatic pressure syndrome, post-traumatic fat embolism from long bone fractures, acute pancreatitis, lupus erythe- matosis, dermatomyositis, scleroderma, and amniotic fluid embolism.5–7 Figure 1 (A and B) Color fundus photograph montages showing disk edema, diffuse retinal whitening, and retinal hemorrhages more prominent in the left eye compared to the right eye. (C) Optical coherence tomography showing atrophy of the temporal retina and disruption of inner segment–outer segment junction of the photoreceptor in the right eye. (D) Optical coherence tomography revealing edema of the nasal macula and central foveal hyper-reflectivity consistent with a scar in the left eye. (E) Optical coherence tomography thickness map of the right eye demonstrating temporal thinning. 1586 submit your manuscript | www.dovepress.com Dovepress Figure 3 (A) Color photograph of the left eye 1 month after presentation revealing neovascularization of the disk. (B, C and D) Early, mid, and late fluorescein angiograms of the left eye at the same visit demonstrating leakage of the disk consistent with neovascularization. (E) Fluorescein angiogram of the mid-periphery revealing ischemia superonasal to the disk. Clinical Ophthalmology 2011:5