Acute macular neuroretinopathy after shock.
Acute macular neuroretinopathy is a rare disease that has been described mainly in women taking hormonal contraceptives. An association either with a viral illness or with the parenteral use of sympathomimetics was sometimes found. We describe its occurrence in a 22-year-old female following an anaphylactic shock after a bee sting, and in a 26-year-old female following a pregnancy complicated with vena cava syndrome and delivery by caesarean section. A combination of factors including hypoperfusion, Valsalva stress, estrogen-induced hematological and rheological changes, and alpha-adrenergic stimulation apparently provoked this clinical manifestation.
Leys
M
M
Department of Ophthalmology, University Hospital Ghent, Belgium.
Van Slycken
S
S
Koller
J
J
Van de Sompel
W
W
D000328:Adult; D000707:Anaphylaxis / Q000150:complications* / Q000209:etiology; D000818:Animals; D001516:Bees; D005260:Female; D005451:Fluorescein Angiography; D006801:Humans; D007299:Insect Bites and Stings / Q000150:complications; D008268:Macular Degeneration / Q000175:diagnosis / Q000209:etiology*; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular; D013479:Superior Vena Cava Syndrome / Q000150:complications*