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Updated: Feb 10, 2026
06:25
Author Spotlight: Assessment of Visual Acuity in Central Vision Loss Through Motion-Based Peripheral Vision Testing
Published on: February 23, 2024
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[A young patient with full visual acuity, small visual field defects, and normal fluorescence angiogram]
S Serafini1, C P Lohmann2, M Ulbig2
1Klinik und Poliklinik für Augenheilkunde, Klinikum rechts der Isar, Technische Universität München, Ismaninger Str. 22, 81675, München, Deutschland. simone.serafini@mri.tum.de.
Summary
Acute macular neuroretinopathy (AMNR) can cause permanent central vision loss despite normal visual acuity. Early diagnosis using multimodal imaging is crucial for managing this retinal condition.
Area of Science:
- Ophthalmology
- Retinal Imaging
- Neuro-ophthalmology
Background:
- Acute macular neuroretinopathy (AMNR) is a rare condition affecting central vision.
- Patient presented with flu-like symptoms, stress, and high caffeine intake, potential triggers for AMNR.
Observation:
- Dark reddish, cloverleaf-shaped macular lesions observed.
- Spectral domain optical coherence tomography (SD-OCT) showed external retinal layer alterations.
- Central visual field defects (scotoma) were present in both eyes.
Findings:
- Follow-up confirmed persistent central scotoma and retinal layer changes.
- OCT angiography (OCT-A) revealed reduced perfusion in the outer retinal capillary plexus.
- Multimodal imaging, including SD-OCT and OCT-A, is vital for AMNR diagnosis.
Implications:
- AMNR can lead to permanent central scotoma, impacting visual function.
- Patients require counseling on potential long-term visual field deficits.
- Timely diagnosis through advanced imaging aids in patient management.
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