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Title | Improvement of Choroidal Blood Void in a Case of Acute Macular Neuroretinopathy |
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 |