A Case of Acute Macular Neuroretinopathy after Non-ocular Trauma.
10.3341/jkos.2016.57.12.1970
- Author:
Se Eun KIM
1
;
Si Eun LEE
;
Yun Young KIM
Author Information
1. Department of Ophthalmology, Catholic University of Daegu School of Medicine, Daegu, Korea. yykim@cu.ac.kr
- Publication Type:Case Report
- Keywords:
Acute macular neuroretinopathy;
Central scotoma;
Traumatic retinopathy
- MeSH:
Aged;
Fluorescein Angiography;
Hand;
Humans;
Korea;
Male;
Optical Imaging;
Rib Fractures;
Scotoma;
Tomography, Optical Coherence;
Visual Acuity;
Visual Field Tests;
Visual Fields
- From:Journal of the Korean Ophthalmological Society
2016;57(12):1970-1975
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: In the present study, an unusual case of traumatic retinopathy presenting as acute macular neuroretinopathy was reported. CASE SUMMARY: A 69-year-old male was involved in a car accident and experienced a left 5th rib fracture. There was no direct ocular trauma. However, after the accident he noticed paracentral scotoma and loss of vision in his left eye. At initial examination 4 days after the trauma, central visual acuity was hand motion and visual field test revealed central scotoma in the left eye. Spectral domain optical coherence tomography showed hyper-reflectivity of the outer nuclear layer and disruption of the ellipsoid zone. Fluorescein angiography did not show any leakage or vascular damage but near-infrared autofluorescence imaging showed a dark lesion in the macular area. Visual acuity was improved to 0.2 at 2 weeks after trauma and 0.6 at 6 months after trauma while mild ellipsoid zone defect and visual field defect persisted. CONCLUSIONS: Traumatic retinopathy presenting as acute macular neuroretinopathy is an uncommon disease causing paracentral scotomas after non-ocular trauma, and to the best of our knowledge, this is the first reported case in Korea.
