J Korean Ophthalmol Soc.  2016 Dec;57(12):1970-1975. 10.3341/jkos.2016.57.12.1970.

A Case of Acute Macular Neuroretinopathy after Non-ocular Trauma

Affiliations
  • 1Department of Ophthalmology, Catholic University of Daegu School of Medicine, Daegu, Korea. yykim@cu.ac.kr

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.

Keyword

Acute macular neuroretinopathy; Central scotoma; Traumatic retinopathy

MeSH Terms

Aged
Fluorescein Angiography
Hand
Humans
Korea
Male
Optical Imaging
Rib Fractures
Scotoma
Tomography, Optical Coherence
Visual Acuity
Visual Field Tests
Visual Fields
Full Text Links
  • JKOS
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2022 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr