Purtscherlike retinopathy. A, Fundus photos of a 20-year-old woman were taken 1 day after an uncomplicated delivery of a healthy baby. The patient had noted profound, persistent bilateral vision loss beginning 1 hour after parturition. Intraretinal hemorrhages (arrows)and bright superficial cotton-wool spots (arrowheads) were present, in addition to extensive areas of well demarcated Purtscher flecken (asterisk) with characteristic sparing of the perivascular retina. The flecken are likely the result of occlusion of the precapillary arterioles. B, Corresponding fundus photos taken 4 years later demonstrate optic atrophy and deep macular pigmentary atrophy. Visual acuity was 20/200 OD and 20/800 OS.