A shot of adrenaline.
Acute macular neuroretinopathy is a rare disorder characterized by the sudden onset of unilateral or bilateral paracentral scotomas with relative sparing of the central vision that occurs mostly in young women. It is often characterized by wedge-like macular lesions. The cause of acute macular neuroretinopathy is unknown but viral, immunological, and vascular etiologies have been proposed. There is no current treatment and the visual prognosis is variable. We describe a young woman in whom this disorder was associated with the administration of epinephrine.
El-Dairi
Mays
M
Department of Ophthalmology, Duke University Eye Center and Duke University Medical Center, Durham, North Carolina 27710-3802, USA.
Bhatti
M Tariq
MT
Vaphiades
Michael S
MS
D000208:Acute Disease; D000322:Adrenergic Agonists / Q000009:adverse effects*; D004596:Electroretinography; D004837:Epinephrine / Q000009:adverse effects*; D005260:Female; D006801:Humans; D008266:Macula Lutea / Q000187:drug effects* / Q000473:pathology; D012164:Retinal Diseases / Q000139:chemically induced* / Q000503:physiopathology; D012607:Scotoma / Q000139:chemically induced* / Q000503:physiopathology; D041623:Tomography, Optical Coherence; D014581:Urticaria / Q000188:drug therapy; D014792:Visual Acuity / Q000502:physiology; D058609:Visual Field Tests; D014794:Visual Fields / Q000502:physiology; D055815:Young Adult
D000322:Adrenergic Agonists; D004837:Epinephrine