%0 Journal Article %A Martin M Nentwich %A Anita Leys %A Andreas Cramer %A Michael W Ulbig %T Traumatic retinopathy presenting as acute macular neuroretinopathy %D 2013 %R 10.1136/bjophthalmol-2013-303354 %J British Journal of Ophthalmology %P 1268-1272 %V 97 %N 10 %X 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. %U https://bjo.bmj.com/content/bjophthalmol/97/10/1268.full.pdf