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Erschienen in:
01.06.2011 | Retinal Disorders
Acute macular neuroretinopathy: contribution of spectral-domain optical coherence tomography and multifocal ERG
Erschienen in: Graefe's Archive for Clinical and Experimental Ophthalmology | Ausgabe 6/2011
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Background
Acute macular neuroretinopathy is a rare disease which occurs in young women and causes sudden paracentral scotoma and typical reddish-brown macular lesions.
Material and methods
We report two cases of young women suffering from acute macular neuroretinopathy which we observed with spectral-domain Spectralis HRA-OCT and multifocal ERG at 3 and 7 months.
Results
Imaging revealed an early hyper-reflectivity of the photoreceptor layer, which changed into hyporeflectivity in the first week and remained the same in the following months, whereas visual field improved.
Conclusions
Our findings show involvement primarly of the outer retina, and confirm OCT and mf ERG as important tools for diagnosis and follow-up of pathologic changes in AMNR, as other diagnostic tests often remain normal.