A Case of Acute Macular Neuroretinopathy after Non-ocular Trauma.

Kim, Se Eun; Lee, Si Eun; Kim, Yun Young

doi:2016.57.12.1970

J Korean Ophthalmol Soc > Volume 57(12); 2016 > Article

Case Report

Journal of the Korean Ophthalmological Society 2016;57(12):1970-1975.
DOI: https://doi.org/10.3341/jkos.2016.57.12.1970 Published online December 15, 2016.

A Case of Acute Macular Neuroretinopathy after Non-ocular Trauma.

Se Eun Kim, Si Eun Lee, Yun Young Kim

Department of Ophthalmology, Catholic University of Daegu School of Medicine, Daegu, Korea. yykim@cu.ac.kr

간접외상 이후에 발생한 급성 황반 신경망막병증 1예

김세은⋅이시은⋅김윤영

대구가톨릭대학교 의과대학 안과학교실

Abstract

PURPOSE
In the present study, an unusual case of traumatic retinopathy presenting as acute macular neuroretinopathy was reported. CASE SUMMARY: A 69-year-old male was involved in a car accident and experienced a left 5th rib fracture. There was no direct ocular trauma. However, after the accident he noticed paracentral scotoma and loss of vision in his left eye. At initial examination 4 days after the trauma, central visual acuity was hand motion and visual field test revealed central scotoma in the left eye. Spectral domain optical coherence tomography showed hyper-reflectivity of the outer nuclear layer and disruption of the ellipsoid zone. Fluorescein angiography did not show any leakage or vascular damage but near-infrared autofluorescence imaging showed a dark lesion in the macular area. Visual acuity was improved to 0.2 at 2 weeks after trauma and 0.6 at 6 months after trauma while mild ellipsoid zone defect and visual field defect persisted. CONCLUSIONS: Traumatic retinopathy presenting as acute macular neuroretinopathy is an uncommon disease causing paracentral scotomas after non-ocular trauma, and to the best of our knowledge, this is the first reported case in Korea.

Key Words: Acute macular neuroretinopathy;Central scotoma;Traumatic retinopathy