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Traumatic retinopathy presenting as acute macular neuroretinopathy
  1. Martin M Nentwich1,
  2. Anita Leys2,
  3. Andreas Cramer3,
  4. Michael W Ulbig1
  1. 1Department of Ophthalmology, Ludwig-Maximilians-University, Munich, Germany
  2. 2Department of Ophthalmology, University of Leuven, Leuven, Belgium
  3. 3Department of Ophthalmology, Landeskrankenhaus Vöcklabruck, Vöcklabruck, Austria
  1. Correspondence to Dr Martin M Nentwich, Department of Ophthalmology, Ludwig-Maximilians-University, Mathildenstrasse 8, Munich 80336, Germany; Martin.Nentwich{at}


Aim Traumatic retinopathy presenting as acute macular neuroretinopathy (AMNR) is an uncommon disease causing paracentral scotomas after indirect trauma.

Methods We report on five patients (six eyes) with AMNR with a temporary reduction of visual acuity and persistent paracentral scotomas after indirect trauma. The findings were documented using multimodal imaging and the follow-up was up to 32 months.

Results Initially, fundoscopy was unremarkable in all patients while visual acuity (Snellen equivalents) varied between 0.03 and 1.0, and a paracentral scotoma was present in all patients. During follow-up, visual acuity recovered to 1.0 in all patients while the paracentral scotomas persisted. Spectral-domain optical coherence tomography revealed a disruption of the inner/outer segment junction within the macular lesion and changes in the outer nuclear layer, which slowly recovered partly during the follow-up.

Conclusions These findings suggest that indirect trauma can cause changes in the outer retina resembling those seen in AMNR, resulting in persisting paracentral scotomas.

  • Macula
  • Retina
  • Trauma
  • Imaging

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