Vaphiades Michael S, Grondines Brendan
Department of Ophthalmology, University of Alabama, Birmingham, Alabama, USA.
Neuroophthalmology. 2017 Apr 10;41(4):219-223. doi: 10.1080/01658107.2017.1297999. eCollection 2017 Aug.
A 19-year-old Caucasian woman developed an upper respiratory infection, took a cold formulation containing 5 mg of phenylephrine, and developed a very rare and unusual form of acute macular neuroretinopathy (AMN) that could not be detected on fundoscopic examination, visual fields, nor electrophysiological testing. Spectral-domain optical coherence tomography (SD-OCT) revealed a lesion limited to the fovea. This case illustrates the value of SD-OCT, in light of otherwise normal testing, in a variant of AMN the authors call "occult AMN".
一名19岁的白种女性患上了上呼吸道感染，服用了一种含有5毫克去氧肾上腺素的感冒制剂，随后患上了一种非常罕见且不寻常的急性黄斑神经视网膜病变（AMN），这种病变在眼底镜检查、视野检查以及电生理测试中均未被发现。光谱域光学相干断层扫描（SD-OCT）显示病变仅限于黄斑中心凹。鉴于其他检查结果正常，该病例说明了SD-OCT在作者称之为“隐匿性AMN”的AMN变体中的价值。
