Enhanced visualization of acute macular neuroretinopathy by Heidelberg Retina Tomography

Authors: Mirshahi, Alireza; Scharioth, Gàbor B1; Klais, Christina MC2; Baatz, Holger1

Source: Clinical & Experimental Ophthalmology, Volume 34, Number 6, August 2006 , pp. 596-599(4)

Publisher: Blackwell Publishing

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Abstract:

We report Heidelberg Retina Tomography (HRT) findings in a case of bilateral acute macular neuroretinopathy in a 22-year-old man. In addition to fundus photography, fluorescein and indocyanine green angiography, and visual field testing, HRT scans of the macula were performed early in the disease and at a follow up of 2 months. We found typical paracentral scotomata in visual field testing corresponding to sharply delineated, hyporeflective areas of the macula as visualized in HRT II scans. Those lesions were almost invisible on regular fundus photographs. Angiography results were unremarkable. The lesion size decreased over time. The visibility of the lesions was markedly enhanced by HRT scans, thus the diagnosis and follow up of acute macular neuroretinopathy could be facilitated by this non-invasive imaging technique.

Keywords: acute macular neuroretinopathy; Heidelberg Retina Tomography; retinal imaging

Document Type: Research article

DOI: 10.1111/j.1442-9071.2006.01282.x

Affiliations: 1: Recklinghausen Eye Centre, Recklinghausen, 2: LuEsther T. Mertz Retinal Research Center, Manhattan Eye, Ear, and Throat Hospital, New York, USA

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