Advertisement

Der Ophthalmologe

, Volume 108, Issue 12, pp 1168–1170 | Cite as

Akute makuläre Neuroretinopathie

  • K. Manousaridis
  • A. Chylak
  • S.J. Talks
Kasuistiken
  • 412 Downloads

Zusammenfassung

Eine 24-jährige Patientin stellte sich mit plötzlich auftretenden parazentralen Gesichtsfeldausfällen am rechten Auge vor, die erstmals 2 Monate vor der Vorstellung in der Klinik bemerkt wurden. Die Spaltlampenuntersuchung der vorderen und hinteren Augenabschnitte ergab einen unauffälligen Befund. In infraroten Fundusbildern waren 3 scharf begrenzte, ovale, hyporeflektive Areale am rechten hinteren Pol und ein kleines ähnliches Areal am linken hinteren Pol nachweisbar. In der optischen Kohärenztomographie (Cirrus-OCT) war ein Abbruch der hochreflektiven Bänder der äußeren Netzhaut nachweisbar. Die Diagnose einer akuten makulären Neuroretinopathie wurde gestellt.

Schlüsselwörter

Akute makuläre Neuroretinopathie Optische Kohärenztomographie Fluoreszenzangiographie Photorezeptoren Gesichtsfeldausfälle 

Acute macular neuroretinopathy

Abstract

A 24-year-old female patient presented with sudden onset of paracentral visual field defects of the right eye, which were noticed 2 months before the clinical examination. The slit lamp examination of the anterior and posterior segments showed unremarkable findings but three oval, well demarcated, hyporeflective areas were noticed in the right posterior pole in infrared fundus photographs. A similar small area was found in the left posterior pole. Optical coherence tomography (Cirrus OCT) showed a structural defect of the hyperreflective bands of the outer retina. The diagnosis of acute macular neuroretinopathy was made.

Keywords

Acute macular neuroretinopathy Optical coherence tomography Fluorescence angiography Photoreceptors Visual field defects 

Notes

Interessenkonflikt

Der korrespondierende Autor gibt an, dass kein Interessenkonflikt besteht.

Literatur

  1. 1.
    Bos PJ, Deutman AF (1975) Acute macular neuroretinopathy. Am J Ophthalmol 80:573–584PubMedGoogle Scholar
  2. 2.
    Browning AC, Gupta R, Barber C et al (2003) The multifocal electroretinogram in acute macular neuroretinopathy. Arch Ophthalmol 121:1506–1507PubMedCrossRefGoogle Scholar
  3. 3.
    Chan WM, Liu DTL, Tong JP et al (2005) Longitudinal findings of acute macular neuroretinopathy with multifocal electroretinogram and optical coherence tomography. Clin Experiment Ophthalmol 33(4):439–442PubMedCrossRefGoogle Scholar
  4. 4.
    Gass JD (2000) The acute zonal outer retinopathies. Am J Ophthalmol 130:655–657PubMedCrossRefGoogle Scholar
  5. 5.
    Gass JD (2003) Are acute zonal occult outer retinopathy and the white spot syndromes (AZOOR complex) specific autoimmune diseases? Am J Ophthalmol 135:380–381PubMedCrossRefGoogle Scholar
  6. 6.
    Gass JD, Agarwal A, Scott IU (2002) Acute zonal occult outer retinopathy: a long term follow-up study. Am J Ophthalmol 134:329–339PubMedCrossRefGoogle Scholar
  7. 7.
    Gass JDM (1993) Acute zonal occult outer retinopathy. Donders lecture: The Netherlands Ophthalmological Society, Maastricht, Holland. J Clin Neuroophthalmol 13:79–97PubMedGoogle Scholar
  8. 8.
    Gomez-Torreiro M, Gomez-Ulla F, Bolivar Montesa P et al (2002) Scanning laser ophthalmoscope findings in acute macular neuroretinopathy. Retina 22:108–109PubMedCrossRefGoogle Scholar
  9. 9.
    Hughes EH, Siow YC, Hunyor AP (2009) Acute macular neuroretinopathy: anatomic localization of the lesion with high-resolution OCT. Eye 23(11):2132–2134PubMedCrossRefGoogle Scholar
  10. 10.
    Li D, Kishi S (2007) Loss of photoreceptor outer segment in acute zonal occult outer retinopathy. Arch Ophthalmol 125:1194–1200PubMedCrossRefGoogle Scholar
  11. 11.
    Li D, Kishi S (2009) Restored photoreceptor outer segment damage in multiple evanescent white dotsyndrome. Ophthalmology 116:762–770PubMedCrossRefGoogle Scholar
  12. 12.
    Maschi C, Schneider-Lise B, Paoli V et al (2011) Acute macular neuroretinopathy: contribution of spectral domain optical coherence tomographyand multifocal ERG. Graefes Arch Clin Exp Ophthalmol 249:827–831PubMedCrossRefGoogle Scholar
  13. 13.
    Miller MH, Spalton DJ, Fitzke FW et al (1989) Acute macular neuroretinopathy. Ophthalmology 96:265–269PubMedGoogle Scholar
  14. 14.
    Neuhann IM, Inhoffen W, Koerner S et al (2010) Visualization and follow-up of acute macular neuroretinopathy with the Spectralis HRA+ OCT device. Graefes Arch Clin Exp Ophthalmol 248:1041–1044PubMedCrossRefGoogle Scholar
  15. 15.
    Rait JL, O‘ Day J (1987) Acute macular neuroretinopathy. Aust NZ J Ophthalmol 15:337–340CrossRefGoogle Scholar
  16. 16.
    Shukla D, Arora A, Ambatkar S et al (2005) Optical coherence tomography findings in acute macular neuroretinopathy. Eye 19:107–108PubMedCrossRefGoogle Scholar
  17. 17.
    Turbeville SD, Cowan LD, Gass JDM (2003) Acute macular neuroretinopathy: a review of the literature. Surv Ophthalmol 48(1):1–11PubMedCrossRefGoogle Scholar
  18. 18.
    Vance SK, Spaide RF, Bailey-Freund K et al (2011) Outer retinal abnormalities in acute macular neuroretinopathy. Retina 31:441–445PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag 2011

Authors and Affiliations

  1. 1.Ophthalmology Department, Royal Victoria InfirmaryNHS Foundation TrustNewcastle upon Tyne NE1 4LPUK

Personalised recommendations