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Klin Monbl Augenheilkd ; 241(1): 95-101, 2024 Jan.
Article in English, German | MEDLINE | ID: mdl-37156501

ABSTRACT

Acute macular neuroretinopathy (AMN) is a rare disease entity. It is mainly observed in young women with a history of influenza-like infection or who have been taking oral contraceptives for several years. Patients typically describe subjective visual deterioration and mono- or bilateral paracentral relative scotomas. In some cases, funduscopic ophthalmic examination may reveal subtle sharply demarcated flat lesions of reddish-brown or orange colour in the macular region. Diagnosis is usually made by near-infrared fundus imaging which shows hyporeflective areas, and SD-OCT imaging which manifests changes in the outer retinal layers. In the following, three patient cases with bilateral AMN are described which occurred in direct temporal relationship to a recent SARS-CoV-2 infection.


Subject(s)
COVID-19 , Macula Lutea , Retinal Diseases , White Dot Syndromes , Humans , Female , Retinal Diseases/diagnosis , Retinal Diseases/pathology , Acute Disease , COVID-19/complications , SARS-CoV-2 , Scotoma/diagnosis , Scotoma/etiology , Scotoma/pathology , White Dot Syndromes/pathology , Tomography, Optical Coherence/methods , Disease Progression
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