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Visualization and follow-up of acute macular neuroretinopathy with the Spectralis® HRA+OCT device

Irmingard M. Neuhann, Werner Inhoffen, Sabine Koerner, Karl Ulrich Bartz-Schmidt and Faik Gelisken

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Abstract

Background  

Acute macular neuroretinopathy (AMNR) is a rare disease entity, the diagnosis of which is frequently complicated by the subtlety of biomicroscopic findings.

Methods  

Two cases of AMNR are presented, in which the diagnosis and follow-up was enabled using the Spectralis® HRA+OCT in the absence of clear biomicroscopic findings.

Results  

The typical lesions were visualized by hyporeflexion during infrared imaging and faded over time. With spectral domain optical coherence tomography, changes in the outer retina in the affected regions were documented, with no change over time.

Conclusion  

The broader availability of this technology may enhance the diagnosis and follow-up of AMNR.

Keywords  Acute macular neuroretinopathy - AMNR - Scanning laser ophthalmoscopy - Optical coherence tomography

Financial Interest None.

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