Optical coherence tomography (OCT) in acute macular neuroretinopathy.
OBJECTIVE
To evaluate the value of ocular coherence tomography (OCT) concerning diagnosis and pathogenesis of acute macular neuroretinopathy.


METHODS
A 33-year old woman complained of sudden onset of central scotomas in her right eye because of acute macular neuroretinopathy. We performed a direct ophthalmoscopy, a visual field testing, a fluorescein angiography (FA) a multifocal ERG (mf-ERG) and an OCT.


RESULTS
We found typical paracentral scotoma in visual field testing, a normal FA and mf-ERG in her right eye. In OCT there was a band of higher reflectivity (115 microm) overlying an intact band corresponding to the retinal pigment epithelium (RPE)/ choriocapillaris complex. Retinal thickness was within the normal range.


CONCLUSIONS
OCT can be an additional valuable tool in acute macular neuroretinopathy as it is a disease with discrete pathology and often normal results in other diagnostic tests.
Feigl
B
B
Department of Ophthalmology, University of Graz, Austria. beatrix.feigl@kfunigraz.ac.at
Haas
A
A
D000208:Acute Disease; D000328:Adult; D003941:Diagnostic Techniques, Ophthalmological; D004596:Electroretinography; D005260:Female; D005451:Fluorescein Angiography; D006801:Humans; D007368:Interferometry; D008266:Macula Lutea / Q000473:pathology*; D009887:Ophthalmoscopy; D012164:Retinal Diseases / Q000175:diagnosis* / Q000209:etiology; D012607:Scotoma / Q000175:diagnosis* / Q000209:etiology; D013016:Sound; D014054:Tomography / Q000379:methods; D014792:Visual Acuity; D058609:Visual Field Tests; D014794:Visual Fields