Dr Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, Delhi, India.
Dr Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, Delhi, India
BMJ Case Rep. 2020 Dec 22;13(12):e238625. doi: 10.1136/bcr-2020-238625.
A young man presented with bilateral diminution of vision after acute coronary syndrome. Fundus showed dark wedge-shaped perifoveal lesions in both eyes. Fundus fluorescein angiography and indocyanine angiography were normal. Optical coherence tomography showed characteristic findings of outer nuclear layer thinning and disruption of ellipsoid zone. Optical coherence tomography angiography showed flow voids in deep capillary plexus. A diagnosis of acute macular neuroretinopathy was made. The multimodal imaging findings and pathophysiology of such a scenario are presented.
一位年轻男性在急性冠状动脉综合征后出现双眼视力下降。眼底检查显示双眼周边部视盘周围呈楔形暗斑。眼底荧光素血管造影和吲哚青绿血管造影均正常。光学相干断层扫描显示外核层变薄和椭圆体带中断的特征性表现。光学相干断层扫描血管造影显示深层毛细血管丛血流缺失。诊断为急性黄斑神经视网膜病变。本文呈现了这种情况下的多模态成像发现和病理生理学。
