PMID- 16052823
OWN - NLM
STAT- MEDLINE
DCOM- 20050909
LR  - 20061115
IS  - 0023-2157 (Print)
IS  - 0023-2157 (Linking)
VI  - 107
IP  - 1-3
DP  - 2005
TI  - [Acute macular neuroretinopathy--case report].
PG  - 127-9
AB  - PURPOSE: The aim of this study is to present rare retinal disease of unknown 
      origin. MATERIAL AND METHODS: 27-years-old man was diagnosed because of poor 
      vision in the left eye, which lasted 4-5 weeks. Following examinations were 
      performed: Visual acuity, contrast sensitivity, color perception, visual field, 
      fluorescein angiography (AF), visual evoked potentials (VEP), full-field flash 
      electroretinography (flash ERG), focal-foveal electroretinography (focal ERG), 
      multifocal electroretinography (multifocal ERG). Follow-up 1.5 year. RESULTS: 
      Visual acuity of right eye was 1.25 (-0.1 log MAR) and left eye 1.0 (0.0 log 
      MAR). In left eye between optic disc and macula irregular lesion with dots of 
      retinal pigment epithelium atrophy and little edema was seen. AF revealed small 
      "window" defects. In visual field of the left eye paracentral relative scotoma 
      occurred and in stereokampimetry central relative scotoma was found about 5 
      degrees from the fixation point. In VEP latency of P100 was delayed and amplitude 
      was reduced in both eyes. In flash as well as focal ERG small reduction of cone 
      function and delayed implicit time of b-wave were found in left eye. In general 
      examination no focal inflammation and no abnormalities in laboratory tests were 
      found. The patient was treated with steroids for 3 weeks. After ten days of 
      general steroid treatment visual acuity improved to 1.25 and subjective 
      improvement of vision occurred. Control examination after 1.5 year revealed no 
      patient's complains, visual acuity 1.25, no change in visual field, VEP 
      improvement. In left eye flat irregular area with pigment epithelium atrophy was 
      seen. CONCLUSIONS: Acute macular neuroretinopathy may be diagnosed after detail 
      examination. Prognosis is generally good, recovery is slow, but despite of local 
      retinal atrophy subjective complains disappear completely.
FAU - Pojda-Wilczek, Dorota
AU  - Pojda-Wilczek D
AD  - Z Katedry i Oddzialu Klinicznego Okulistyki Slaskiej Akademii Medycznej, Szpital 
      Specjalistyczny nr 1 w Bytomiu.
FAU - Herba, Ewa
AU  - Herba E
LA  - pol
PT  - Case Reports
PT  - English Abstract
PT  - Journal Article
TT  - Ostra neuroretinopatia--opis przypadku.
PL  - Poland
TA  - Klin Oczna
JT  - Klinika oczna
JID - 0376614
SB  - IM
MH  - Acute Disease
MH  - Adult
MH  - Humans
MH  - Macula Lutea/*pathology
MH  - Male
MH  - Retinal Diseases/*diagnosis/pathology/physiopathology
MH  - Visual Acuity
EDAT- 2005/08/02 09:00
MHDA- 2005/09/10 09:00
CRDT- 2005/08/02 09:00
PHST- 2005/08/02 09:00 [pubmed]
PHST- 2005/09/10 09:00 [medline]
PHST- 2005/08/02 09:00 [entrez]
PST - ppublish
SO  - Klin Oczna. 2005;107(1-3):127-9.