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Indian J Ophthalmol. 2019 Apr;67(4):566-568. doi: 10.4103/ijo.IJO_1251_18.

Acute macular neuroretinopathy after blunt ocular trauma: A rare association.

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Department of Vitreo Retina, Aditya Birla Sankara Nethralaya, 147, Mukundapur, E.M. Bypass, Kolkata, West Bengal, India.


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.


AMN; Acute macular neuroretinoathy; deep retinal ischaemi; ocular trauma; paracentral acute middle maculopathy

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