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Acute Macular Neuroretinopathy in Purtscher Retinopathy
1University of Health Sciences, Ankara Ulucanlar Eye Training and Research Hospital, Clinic of Ophthalmology, Ankara, Turkey.
Abstract:
Purtscher retinopathy and acute macular neuroretinopathy are two rare clinical disorders that are both probably associated with ischemic pathogenesis. In this report, we describe for the first time the coexistence of Purtscher retinopathy and acute macular neuroretinopathy in a patient with visual complaints after chest trauma. Optical coherence tomography (OCT) scans demonstrated outer retinal defects, while OCT angiography illustrated areas of hypoperfusion in the superficial and deep capillary plexuses as well as the choriocapillaris. In this report, it is emphasized that acute macular neuroretinopathy is a clinical condition that should be kept in mind in patients presenting with post-traumatic vision loss. Although its clinical diagnosis is difficult, characteristic OCT and OCT angiography findings facilitate diagnosis.
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