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Atypical presentation of acute macular neuroretinopathy with tiny parafoveal reddish-brown lesions

  • Clinical Investigation
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Abstract

Purpose

To report two cases of acute macular neuroretinopathy with unusually small parafoveal lesions, which showed later recurrent lesions either in the same eye or the fellow eye.

Methods

Observational case series.

Patients

In case 1, a 48-year-old woman developed a sudden onset of a tiny paracentral scotoma associated with a small reddish-brown paracentral lesion. A new paracentral lesion with a corresponding scotoma developed 1 year later. In case 2, a 39-year-old man with diabetes type 1 developed a pracentral scotoma OS with a corresponding small reddish-brown lesion. Two months later, a similar lesion with a corresponding scotoma developed in the fellow eye.

Conclusions

Acute macular neuroretinopathy may present with tiny paracentral lesions difficult to detect with fundus examination, and may be associated with recurrent lesions either in the same eye or the fellow eye.

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Acknowledgments

The authors have no proprietary interests in any of the material used in this study. The authors have no financial support.

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Authors

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Correspondence to Akinori Uemura.

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Cite this article

Matsuo, Y., Uemura, A., Nakano, T. et al. Atypical presentation of acute macular neuroretinopathy with tiny parafoveal reddish-brown lesions. Jpn J Ophthalmol 55, 362–364 (2011). https://doi.org/10.1007/s10384-011-0028-0

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  • DOI: https://doi.org/10.1007/s10384-011-0028-0

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