Multimodal imaging of type 2 acute macular neuroretinopathy in a young woman

We report a case of type 2 acute macular neuroretinopathy (AMN) that occurred in an otherwise healthy 22-year-old white woman taking oral contraceptives and consuming large quantities of caffeinated coffee. The patient presented with a teardrop-shaped scotoma just inferior to her central vision in h...

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Bibliographic Details
Published in:Digital journal of ophthalmology 2021-08, Vol.27 (3), p.44-47
Main Authors: Powers, James H, Singh, Pali P, Grewal, Dilraj S, Matthews, John D, Fekrat, Sharon
Format: Article
Language:English
Subjects:
Acute Disease
Adult
Case Report
Female
Humans
Macula Lutea - diagnostic imaging
Multimodal Imaging
Retinal Diseases - diagnosis
Tomography, Optical Coherence
White Dot Syndromes
Young Adult
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Summary:We report a case of type 2 acute macular neuroretinopathy (AMN) that occurred in an otherwise healthy 22-year-old white woman taking oral contraceptives and consuming large quantities of caffeinated coffee. The patient presented with a teardrop-shaped scotoma just inferior to her central vision in her left eye after a recent and significant increase in coffee consumption. A small extrafoveal retinal lesion was present superior to the fovea on pseudocolor fundus photography. Multimodal retinal imaging demonstrated focal disruption of the inner segment-outer segment junction of the photoreceptors with overlying hyperreflectivity at the level of the outer plexiform layer superior to the fovea, consistent with a diagnosis of type 2 AMN. Oral contraceptive use and high caffeine intake may be risk factors for the development of type 2 AMN.
ISSN:1542-8958
1542-8958
DOI:10.5693/djo.02.2021.06.004