Acute macular neuroretinopathy after blunt ocular trauma: A rare association

Indian J Ophthalmol. 2019 Apr;67(4):566-568. doi: 10.4103/ijo.IJO_1251_18.

Abstract

Acute macular neuroretinopathy (AMN) is a deep retinal ischemic manifestation. It has been reported after the use of sympathomimetics, childbirth, bee sting, oral contraceptives, flu-like illness, intravenous contrast agents and bodily trauma not directly involving the eyes. We report a case of AMN following blunt ocular trauma. An 18-year-old male presented with an acute history of blurring of vision following blunt trauma to the right eye. Spectral domain optical coherence tomography (SD-OCT) showed hyperreflectivity of the outer nuclear layer with ellipsoid layer disruption. This report highlights AMN as a manifestation of blunt trauma, presence of which may be an indicator of poor visual prognosis.

Keywords: AMN; Acute macular neuroretinoathy; deep retinal ischaemi; ocular trauma; paracentral acute middle maculopathy.

Publication types

  • Case Reports

MeSH terms

  • Acute Disease
  • Adolescent
  • Anti-Inflammatory Agents / administration & dosage
  • Eye Injuries / complications*
  • Eye Injuries / diagnosis
  • Fluorescein Angiography / methods*
  • Follow-Up Studies
  • Fundus Oculi
  • Humans
  • Macula Lutea / pathology*
  • Male
  • Ophthalmic Solutions
  • Prednisolone / administration & dosage
  • Prednisolone / analogs & derivatives
  • Rare Diseases
  • Retinal Diseases / diagnosis
  • Retinal Diseases / drug therapy
  • Retinal Diseases / etiology*
  • Time Factors
  • Tomography, Optical Coherence / methods*
  • Visual Acuity*
  • Wounds, Nonpenetrating / complications*
  • Wounds, Nonpenetrating / diagnosis

Substances

  • Anti-Inflammatory Agents
  • Ophthalmic Solutions
  • prednisolone acetate
  • Prednisolone