Multimodal imaging of type 2 acute macular neuroretinopathy in a young woman.

Journal Article

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.

Full Text

Duke Authors

Cited Authors

  • Powers, JH; Singh, PP; Grewal, DS; Matthews, JD; Fekrat, S

Published Date

  • 2021

Published In

Volume / Issue

  • 27 / 3

Start / End Page

  • 44 - 47

PubMed ID

  • 34924882

Pubmed Central ID

  • PMC8668169

Electronic International Standard Serial Number (EISSN)

  • 1542-8958

Digital Object Identifier (DOI)

  • 10.5693/djo.02.2021.06.004


  • eng

Conference Location

  • United States