Bilateral Acute Macular Neuroretinopathy (AMN) after COVID-19 and its Clinical Course

Abstract

Acute macular neuroretinopathy (AMN) is a rare disease entity. It is mainly observed in young women with a history of influenza-like infection or who have been taking oral contraceptives for several years. Patients typically describe subjective visual deterioration and mono- or bilateral paracentral relative scotomas. In some cases, funduscopic ophthalmic examination may reveal subtle sharply demarcated flat lesions of reddish-brown or orange colour in the macular region. Diagnosis is usually made by near-infrared fundus imaging which shows hyporeflective areas, and SD-OCT imaging which manifests changes in the outer retinal layers. In the following, three patient cases with bilateral AMN are described which occurred in direct temporal relationship to a recent SARS-CoV-2 infection.

Key words

acute macular neuroretinopathy - SD-OCT - Retina - Covid-19 - SARS-CoV-2

Publikationsverlauf

Eingereicht: 11. Oktober 2022

Angenommen: 24. Januar 2023

Artikel online veröffentlicht:
08. Mai 2023

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