PT  - JOURNAL ARTICLE
AU  - Nentwich, Martin M
AU  - Leys, Anita
AU  - Cramer, Andreas
AU  - Ulbig, Michael W
TI  - Traumatic retinopathy presenting as acute macular neuroretinopathy
AID  - 10.1136/bjophthalmol-2013-303354
DP  - 2013 Oct 01
TA  - British Journal of Ophthalmology
PG  - 1268--1272
VI  - 97
IP  - 10
4099  - http://bjo.bmj.com/content/97/10/1268.short
4100  - http://bjo.bmj.com/content/97/10/1268.full
SO  - Br J Ophthalmol2013 Oct 01; 97
AB  - 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.