Paracentral Acute Middle Maculopathy Mimicking Retrobulbar Optic Neuropathy

被引:0
|
作者
Scott, Rachel A. [1 ]
Bhat, Nita [2 ]
Bindiganavile, Shruthi Harish [2 ]
Li, Helen K. [2 ,3 ,4 ]
Lee, Andrew G. [1 ,2 ,4 ,5 ,6 ,7 ,8 ,9 ,10 ,11 ]
机构
[1] Baylor Coll Med, Houston, TX 77030 USA
[2] Houston Methodist Hosp, Blanton Eye Inst, Dept Ophthalmol, Houston, TX 77030 USA
[3] Community Retina Grp, Houston, TX USA
[4] Houston Methodist Hosp, Houston Methodist Res Inst, Houston, TX 77030 USA
[5] Weill Cornell Med, Dept Ophthalmol, New York, NY USA
[6] Weill Cornell Med, Dept Neurol, New York, NY USA
[7] Weill Cornell Med, Dept Neurosurg, New York, NY USA
[8] Univ Texas Med Branch, Dept Ophthalmol, Galveston, TX 77555 USA
[9] Univ Texas MD Anderson Canc Ctr, Houston, TX 77030 USA
[10] Texas A&M Coll Med, Bryan, TX USA
[11] Univ Iowa Hosp & Clin, Dept Ophthalmol, Iowa City, IA 52242 USA
关键词
D O I
10.1097/WNO.0000000000001041
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
A 70-year-old woman presented with acute awareness of decreased color vision in her right eye. Fundus examination and a flash electroretinography (ERG) were both normal. A multifocal ERG (mfERG) however revealed foveal depression, and thinning of inner nuclear layer was noted on macular optical coherence tomography (OCT), and a diagnosis of resolved paracentral acute middle maculopathy was made. Clinicians should be aware of the complementary role of OCT and mfERG in unexplained acute central visual loss to distinguish retinal from neuroophthalmic etiologies. Structural ocular imaging with OCT shows features of inner, middle, and outer retinal localizations to the visual loss. (C) 2020 by North American Neuro-Ophthalmology Society
引用
收藏
页码:E205 / E208
页数:4
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