Acute macular neuroretinopathy in a patient with acute coronary syndrome.
Pulak AgarwalVinod KumarPallavi SinghMousumi BanerjeePublished in: BMJ case reports (2020)
A young man presented with bilateral diminution of vision after acute coronary syndrome. Fundus showed dark wedge-shaped perifoveal lesions in both eyes. Fundus fluorescein angiography and indocyanine angiography were normal. Optical coherence tomography showed characteristic findings of outer nuclear layer thinning and disruption of ellipsoid zone. Optical coherence tomography angiography showed flow voids in deep capillary plexus. A diagnosis of acute macular neuroretinopathy was made. The multimodal imaging findings and pathophysiology of such a scenario are presented.
Keyphrases
- optical coherence tomography
- diabetic retinopathy
- acute coronary syndrome
- liver failure
- respiratory failure
- percutaneous coronary intervention
- antiplatelet therapy
- case report
- drug induced
- optic nerve
- aortic dissection
- high resolution
- hepatitis b virus
- pain management
- coronary artery disease
- atrial fibrillation
- mass spectrometry
- acute respiratory distress syndrome
- chronic pain