Rush J A
Am J Ophthalmol. 1977 Apr;83(4):490-4. doi: 10.1016/0002-9394(77)90553-0.
A 24-year-old white woman convalescing from a viral upper respiratory infection suddenly developed three positive scotomas around the fixation point in her left eye. The fundus had three corresponding lesions that appeared to be characteristic of acute macular neuroretinopathy. Situated in the fovea, subtle, reddish-brown, wedge- or tear-shaped lesions were best seen with the direct ophthalmoscope using red-free light. Visual acuity was 6/6 (20/20), and peripheral fields were normal. The patient's reproduction of the scotomas on an Amsler grid sheet mirrored the observed ophthalmoscopic findings. Fluorescein angiograms were normal. She had been taking oral contraceptives for many years. Although viral illness and oral contraceptives have been associated with acute macular neuroretinopathy, no etiology was proven, and no treatment is known. The patient remains symptomatic after a six-month follow-up.
一名24岁的白人女性在从病毒性上呼吸道感染中康复时，左眼注视点周围突然出现三个阳性暗点。眼底有三个相应的病变，似乎是急性黄斑神经视网膜病变的特征。位于黄斑中心凹的细微的红棕色楔形或泪滴状病变，使用无赤光的直接检眼镜最易观察到。视力为6/6（20/20），周边视野正常。患者在阿姆斯勒方格表上重现的暗点与观察到的检眼镜检查结果相符。荧光素血管造影正常。她服用口服避孕药多年。尽管病毒性疾病和口服避孕药与急性黄斑神经视网膜病变有关，但未证实病因，也尚无已知的治疗方法。经过六个月的随访，患者仍有症状。
