The presenting pt is a 13 years old girl who developed ESRD due to Bardet - biedl syndrome. She was complaining of sever weakness, lethargy, nausea, vomiting, dyspnea and decreased level of consciousness. Physical examination revealed all sings of this syndrome, which includes polydactyly, pigmented Retinopathy, truncal obesity, mental retardation, underdevelopment of sexual characteristics. In lab, sever anemia, serum creatinin 8mg/d, hyperkalemia and metobolic acidosis revealed. According to above mentioned evidences, and small size kidneys in ultrasonograghy, and also with attention to this point that she is a product of a familial marriage, diagnosis of Bardet - Biedl syndrome is documented.

Background & Purpose: Acute compressive injuries to the head and chest, visual loss with a special form of retinopathy called Purtscher Retinopathy may be followed by this retinopathy is characterized by cotton-wool spots, hemorrhages and retinal edema around the optic disc in one or both eyes. A case of unilateral Purtscher-Like Retinopathy is introduced after blunt trauma to one eye without compression. Patients & Findings: A 16-year-old boy came with history of blunt trauma to his right eye and decreased vision since 2 days prior to presentation. Visual acuity was counting fingers at 1 m in the right eye and 10/10 in the left. Except for chemosis and subjconjunctival hemorrhage no other finding was seen on slit lamp biomicroscopy. Conclusion: According to clinical manifestations, changes like Purtscher Retinopathy seems to occur not only after compressive head and chest injuries, but also following direct injuries to the eye.  

Purpose: To report a case of purtscher retinopathy associated with valsalva retinopathy after car accident.Methods: A 54-year-old man presented with a sudden visual loss in his left eye after car accident. Fundus examination of the left eye showed cotton-wool spots and retinal hemorrhages in the posterior pole associated with subhyaloid hemorrhage in macula.Results: Fundus examination showed typical findings for both purtscher retinopathy and valsalva retinopathy.Conclusion: These findings suggest the purtscher retinopathy features has occurred as a result of valsalva maneuver in our case.

Purpose: Torpedo lesions in the retina are rare. This study aimed to investigate torpedoshaped lesions in the retina in an adult population and to determine the spectrum and features of the disease. Methods: The review of a database for clinical diagnosis identified nine patients who were diagnosed with torpedo-shaped lesions in the retina between June 2017 and February 2019. Fundus photography and optical coherence tomography (OCT) imaging were used to analyze the cases. Multicolor imaging was also performed. Results: Nine patients with torpedo-shaped lesions in the fundus were identified. Fundus images revealed that the lesion involved the macula in six eyes; in the remaining three eyes, the lesion was present outside the macula. OCT identified six patients with type 1 torpedo lesions, one with type 2, and two with type 3. On multicolor imaging, the lesion was visualized as a region of increased reflectance in blue, green, and infrared light in all eyes, with notably increased infrared reflectance in eyes with focal choroidal excavation. Choroidal neovascular membrane was evident in one patient on OCT angiography. Conclusion: Torpedo lesions in the retina can occur away from the macula and exhibit features similar to those of torpedo maculopathy. As such, the authors propose a change in the nomenclature for torpedo lesions in the retina from “ torpedo maculopathy” to “ torpedo retinopathy. ”