Abstract : Purtscher-like retinopathy is a rare occlusive microvasculopathy typically associated with systemic conditions such as acute pancreatitis, renal failure, and autoimmune disorders. Visual prognosis is generally poor. A 43-year-old male was admitted to the hospital, following a week-long episode of excessive alcohol consumption. His medical history included two prior episodes of acute pancreatitis and a history of alcohol dependence. Upon admission, he was diagnosed with alcoholic liver disease, acute alcoholic pancreatitis, secondary thrombocytopenia, and visual disturbances. The patient’s visual acuity was significantly reduced: right eye (OD): 0.2 sc. and left eye (OS): 0.2 sc. A refraction assessment was performed, revealing no significant refractive errors. Intraocular pressure was measured at 12 mmHg (OD) and 13 mmHg (OS). Ophthalmoscopic examination revealed optic discs with well-defined margins, segmental narrowing of retinal vessels, and cotton wool spots within the macula and peripheral retina bilaterally. Optical Coherence Tomography (OCT) confirmed macular edema, while angio-OCT demonstrated ischemic retinal areas in both eyes. Based on these findings, the patient was diagnosed with Purtscher-like retinopathy. The patient was managed with supportive care for pancreatitis and alcohol cessation, without the use of corticosteroids or anti-VEGF agents. At follow-up, the patient demonstrated significant visual improvement. His visual acuity improved to OD: 0.8, OS: 0.9 - representing a gain of over six Snellen lines, and intraocular pressures were recorded at 15 mmHg (OD) and 17 mmHg (OS). This case highlights an atypically rapid and significant visual recovery in Purtscher-like retinopathy secondary to acute alcoholic pancreatitis.