Acute macular neuroretinopathy after blunt ocular trauma: A rare association

• Main Authors: Samarth Mishra, Sugandha Goel, Purna Nangia, Deepak Senger, Ankit Vinodbhai Shah, Kumar Saurabh, Rupak Roy
• Format: Article
• Language: English
• Published: Wolters Kluwer Medknow Publications 2019-01-01
• Series: Indian Journal of Ophthalmology
• Subjects: Acute macular neuroretinoathy; AMN; deep retinal ischaemi; ocular trauma; paracentral acute middle maculopathy
• Online Access: http://www.ijo.in/article.asp?issn=0301-4738;year=2019;volume=67;issue=4;spage=566;epage=568;aulast=Mishra

Acute macular neuroretinopathy (AMN) is a deep retinal ischemic manifestation. It has been reported after the use of sympathomimetics, childbirth, bee sting, oral contraceptives, flu-like illness, intravenous contrast agents and bodily trauma not directly involving the eyes. We report a case of AMN following blunt ocular trauma. An 18-year-old male presented with an acute history of blurring of vision following blunt trauma to the right eye. Spectral domain optical coherence tomography (SD-OCT) showed hyperreflectivity of the outer nuclear layer with ellipsoid layer disruption. This report highlights AMN as a manifestation of blunt trauma, presence of which may be an indicator of poor visual prognosis.