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Klin Monbl Augenheilkd 2024; 241(01): 95-101
DOI: 10.1055/a-2022-8462
Kasuistik

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

Article in several languages: English | deutsch

Authors

  • Alexander Johannes Bartsch 

    Augenklinik, Universitätsklinikum Erlangen, Deutschland

  • Adam Alexander Skornia

    Augenklinik, Universitätsklinikum Erlangen, Deutschland

  • Christian Yahya Mardin

    Augenklinik, Universitätsklinikum Erlangen, Deutschland

  • Bettina Hohberger

    Augenklinik, Universitätsklinikum Erlangen, Deutschland
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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


Publication History

Received: 11 October 2022

Accepted: 24 January 2023

Article published online:
08 May 2023

© 2023. Thieme. All rights reserved.

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany

 

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