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Case report
Acute macular neuroretinopathy in a patient with acute coronary syndrome
  1. Pulak Agarwal,
  2. Vinod Kumar,
  3. Pallavi Singh and
  4. Mousumi Banerjee
  1. Dr Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, Delhi, India
  1. Correspondence to Dr Vinod Kumar; drvinod_agg{at}yahoo.com

Abstract

A young man presented with bilateral diminution of vision after acute coronary syndrome. Fundus showed dark wedge-shaped perifoveal lesions in both eyes. Fundus fluorescein angiography and indocyanine angiography were normal. Optical coherence tomography showed characteristic findings of outer nuclear layer thinning and disruption of ellipsoid zone. Optical coherence tomography angiography showed flow voids in deep capillary plexus. A diagnosis of acute macular neuroretinopathy was made. The multimodal imaging findings and pathophysiology of such a scenario are presented.

  • retina
  • macula
  • ischaemic heart disease

https://doi.org/10.1136/bcr-2020-238625

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    Footnotes

    • Contributors PA and PS have worked up the case and prepared the manuscript. VK has edited the manuscript and analysed the multimodal imagings. MB has retrieved the relevant images and edited the manuscript.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient consent for publication Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.