Traumatic retinopathy presenting as acute macular neuroretinopathy

Nentwich, Martin M.; Leys, Anita; Cramer, Andreas und Ulbig, Michael W. (October 2013): Traumatic retinopathy presenting as acute macular neuroretinopathy. In: British Journal of Ophthalmology, Vol. 97, No. 10: pp. 1268-1272

Abstract

Aim: Traumatic retinopathy presenting as acute macular neuroretinopathy (AMNR) is an uncommon disease causing paracentral scotomas after indirect trauma. Methods: We report on five patients (six eyes) with AMNR with a temporary reduction of visual acuity and persistent paracentral scotomas after indirect trauma. The findings were documented using multimodal imaging and the follow-up was up to 32months. Results: Initially, fundoscopy was unremarkable in all patients while visual acuity (Snellen equivalents) varied between 0.03 and 1.0, and a paracentral scotoma was present in all patients. During follow-up, visual acuity recovered to 1.0 in all patients while the paracentral scotomas persisted. Spectral-domain optical coherence tomography revealed a disruption of the inner/outer segment junction within the macular lesion and changes in the outer nuclear layer, which slowly recovered partly during the follow-up. Conclusions: These findings suggest that indirect trauma can cause changes in the outer retina resembling those seen in AMNR, resulting in persisting paracentral scotomas.

• Item Type: Journal article
• Form of publication: Publisher's Version
• Keywords: Macula; Retina; Trauma; Imaging
• Faculties: Medicine
• Subjects: 600 Technology > 610 Medicine and health
• ISSN: 0007-1161
• Alliance/National Licence: This publication is with permission of the rights owner freely accessible due to an Alliance licence and a national licence (funded by the DFG, German Research Foundation) respectively.
• Annotation: Published Online First 12 July 2013
• Language: English