Cilj: Cilj rada je prikazati slučaj Purtscherove retinopatije, rijetke hemoragijske i vazookluzivne vaskulopatije koju obilježava nagli značajni pad vida povezan s teškom traumom glave bez značajne ozljede oka. Može se javiti i u sklopu nekih netraumatskih stanja i tada se naziva retinopatija slična Purtcherovoj. U većini slučajeva javlja se bilateralno, dok je rjeđa unilateralna pojava. Budući da još uvijek ne postoje službene smjernice za liječenje Purtscherove retinopatije, ona svakako predstavlja izazov za kliničare. Prikaz slučaja: 28-godišnji muškarac požalio se na izrazito pogoršanje vida lijevog oka dva dana nakon traume glave zadobivene pri padu s motocikla. Detaljnim oftalmološkim pregledom ustanovljen je uredan nalaz očne pozadine desnog oka, dok su lijevo ustanovljene promjene papile vidnog živca, te krvarenja i blijede, jasno ograničene zone retine (Purtscherove mrlje) te pamučasti eksudati. Idući korak uključivao je kompjutoriziranu tomografiju orbita, optičku koherentnu tomografiju makula i vidnog živca, fluoresceinsku angiografiju i perimetriju te je postavljena konačna dijagnoza Purtscherove retinopatije, a u konzultaciji s neurokirurgom uvedena je pulsna terapija metilprednizolonom. Gotovo potpun oporavak vida i promjena na očnoj pozadini postignut je za 3 mjeseca. Zaključci: Purtscherova retinopatija razmjerno je rijetka bolest, a jednostrano pojavljivanje još je i rjeđe. Nema egzaktnih smjernica za liječenje ove bolesti, naime, neki autori navode poboljšanje nakon terapije metilprednizolonom, a neki su zabilježili i određeni stupanj oporavka bez liječenja. Svakako je potrebno sistematsko praćenje slučajeva koji se pojave te razmjena iskustava u svrhu preciznijeg određivanja adekvatne, eventualno i nove terapije.; Aim: To present a case of Purtscher's retinopathy, rare haemorrhagic and vasoocclusive vasculopathy characterized by sudden blindness associated with severe head trauma with non-ocular trauma. It can occur in the complete absence of trauma and the term Purtscher-like retinopathy is used. In most cases it occurs bilaterally, less common unilateral occurence. Since there are still no official guidelines for Purtscher's retinopathy treatment, it represents a challenge. Case report: A 28-year-old male patient who had head trauma secondary to motorcycle accident was referred to our Clinic two days after the trauma for left unilateral visual loss. The patient underwent a detailed ophthalmological examination with no remarkable signs on the right eye and changes of optic nerve head and retinal hemorrhages, multiple white retinal patches (Purtscher's flecken) and cotton wool spots on the left eye. The next step including orbital computerized tomography , macular and optic nervae head optic coherent tomography, fluorescein angiography and perimetry was performed and the patient was finally diagnosed as Purtscher's retinopathy. After consultation with neurosurgeon the patient was treated with pulse methylprednisolone. Almost complete recovery of vision and retinal changes was achieved in 3 months. Conclusions: Purtscher retinopathy is a relatively rare disease; unilateral appearance is less common. There are no exact guidelines for the treatment, some authors cite improvement after therapy with methyl-prednisolone, and some have recorded a certain degree of recovery without treatment. It is necessary to monitor systematically the cases that arise and exchange experiences for the purpose of more precise determination of adequate, possibly new, therapies.