Multimodal imaging of type 2 acute macular neuroretinopathy in a young woman.
We report a case of type 2 acute macular neuroretinopathy (AMN) that occurred in an otherwise healthy 22-year-old white woman taking oral contraceptives and consuming large quantities of caffeinated coffee. The patient presented with a teardrop-shaped scotoma just inferior to her central vision in her left eye after a recent and significant increase in coffee consumption. A small extrafoveal retinal lesion was present superior to the fovea on pseudocolor fundus photography. Multimodal retinal imaging demonstrated focal disruption of the inner segment-outer segment junction of the photoreceptors with overlying hyperreflectivity at the level of the outer plexiform layer superior to the fovea, consistent with a diagnosis of type 2 AMN. Oral contraceptive use and high caffeine intake may be risk factors for the development of type 2 AMN.
Duke Scholars
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Related Subject Headings
- Young Adult
- White Dot Syndromes
- Tomography, Optical Coherence
- Retinal Diseases
- Multimodal Imaging
- Macula Lutea
- Humans
- Female
- Adult
- Acute Disease
Citation
Published In
DOI
EISSN
Publication Date
Volume
Issue
Start / End Page
Location
Related Subject Headings
- Young Adult
- White Dot Syndromes
- Tomography, Optical Coherence
- Retinal Diseases
- Multimodal Imaging
- Macula Lutea
- Humans
- Female
- Adult
- Acute Disease