We cannot see what she cannot ignore

Francesco Pellegrini; Emanuela Interlandi; Carlos Pavesio; Henry A Ferreyra

doi:10.1016/j.survophthal.2017.02.001

We cannot see what she cannot ignore

Surv Ophthalmol. 2017 Nov-Dec;62(6):882-885. doi: 10.1016/j.survophthal.2017.02.001. Epub 2017 Feb 11.

Authors

Francesco Pellegrini¹, Emanuela Interlandi², Carlos Pavesio³, Henry A Ferreyra⁴

Affiliations

¹ Neuro-Ophthalmology Service, Department of Ophthalmology, "De Gironcoli" Hospital, Conegliano, Treviso, Italy. Electronic address: francepellegrini@virgilio.it.
² Uveitis Service, Department of Ophthalmology, "De Gironcoli" Hospital, Conegliano, Treviso, Italy.
³ Uveitis Clinic, Moorfields Eye Hospital, NHS Foundation Trust, London, UK.
⁴ Department of Ophthalmology, Shiley Eye Institute, University of California, San Diego, La Jolla, California, USA.

PMID: 28193472
DOI: 10.1016/j.survophthal.2017.02.001

Abstract

A 32-year-old woman presented with the acute onset of a small scotoma in the right visual field. She was initially thought to have optic neuritis, but brain magnetic resonance imaging was normal. A review of her symptoms and medications disclosed recent use of oral contraceptives. Near-infrared imaging was the only objective abnormality, consistent with her Amsler grid changes, leading to the diagnosis of acute macular neuroretinopathy.

Keywords: acute macular neuroretinopathy; infrared optical coherence tomography; optic neuritis; scotoma.

Publication types

Case Reports

MeSH terms

Adult
Contraceptives, Oral, Hormonal / adverse effects*
Female
Humans
Macula Lutea*
Retinal Diseases / chemically induced*
Scotoma / chemically induced*

Substances

Contraceptives, Oral, Hormonal