Rodríguez-Vargas Gabriel, Gutiérrez-Hernández Juan C
Ophthalmology Resident, Hospital México, Caja Costarricense de Seguro Social, Costa Rica.
School of Medicine, Universidad de Costa Rica.
Retin Cases Brief Rep. 2018;12 Suppl 1:S16-S18. doi: 10.1097/ICB.0000000000000674.
To report the clinical findings of the youngest confirmed case of acute macular neuroretinopathy to the best of our knowledge.
A 9-year-old patient describing a paracentral scotoma with a normal clinical examination and normal fluorescein angiography.
Initial fundus examination was unremarkable. Fluorescein angiography findings showed no abnormalities but scotoma was confirmed using Amsler grid. Optical coherence tomography showed a parafoveal hyperreflective band in the outer layers. Subsequent optical coherence tomography showed resolution of the pathology.
Acute macular neuroretinopathy is a rare condition usually presented as paracentral scotomas. Optical coherence tomography and Amsler grid testing can be used for diagnosis and to monitor findings on follow-up until resolution.
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