Improvement of Choroidal Blood Void in a Case of Acute Macular Neuroretinopathy
Accept poster if oral is not possible ?
Yes
Purpose
To report a case of acute macular neuroretinopathy (AMN) which responded well to systemic corticosteroid. The clinical course and treatment results, especially the features observed by optical coherence tomography angiography (OCT-A) will be discussed along with a review of the literature.
Methods
This was a retrospective case report. Systemically corticosteroids were administrated across three months for the AMN. The best-correct visual acuity (BCVA), as well as the color fundus, near-infrared reflectance images, optical coherence tomography (OCT), OCT-A and visual field (VF) exams were documented.
Results
The improvement after treatment in the patient not only could be detected by BCVA, VF and OCT but also could be noticed by OCT-A, which disclosed improvements of choroidal flow void in the choriocapillaris layer in both eyes.
Conclusion
In the present study, the choroidal flow void revealed by the OCT-A improved after systemic corticosteroid, along with the recovered of BCVA, OCT and VF defects. These findings may suggest inflammation plays a role in vascular compromise, and that steroid treatment may be beneficial to AMN patients at the acute stage.
Conflict of interest
No
Author 1
Last name
HSIEH
Initials of first name(s)
MC
Department
Department of Ophthalmology, Changhua Christian Hospital
City
Changhua
Country
Taiwan
Author 2
Last name
Chen
Initials of first name(s)
SN
Department
Department of Ophthalmology, Changhua Christian Hospital
City
Changhua
Country
Taiwan
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