Acute macular neuroretinopathy in a patient with acute coronary syndrome. Issue 12 (22nd December 2020)

• Record Type: Journal Article
• Authors: Agarwal, Pulak; Kumar, Vinod; Singh, Pallavi; Banerjee, Mousumi
• Is Part Of: BMJ case reports. Volume 13:Issue 12(2020)
• Publication Date: 2020-12-22
• Subjects: retina -- macula -- ischaemic heart disease; Medicine -- Case studies -- Periodicals; 610.5
• DOI: 10.1136/bcr-2020-238625
• Languages: English
• ISSNs: 1757-790X

Abstract

Abstract : 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.