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Hokkaido University Collection of Scholarly and Academic Papers >
Graduate School of Medicine / Faculty of Medicine >
Peer-reviewed Journal Articles, etc >
A patient with acute macular neuroretinopathy and central retinal vein occlusion
| Title: | A patient with acute macular neuroretinopathy and central retinal vein occlusion |
| Authors: | Saito, Wataru Browse this author | | Hirooka, Kiriko Browse this author | | Noda, Kousuke Browse this author →KAKEN DB | | Ishida, Susumu Browse this author →KAKEN DB |
| Keywords: | choroidal circulation | | optical coherence tomography | | retinal circulation | | systemic corticosteroid therapy |
| Issue Date: | 15-Jul-2013 |
| Publisher: | Dove Medical Press |
| Journal Title: | Clinical Ophthalmology |
| Volume: | 7 |
| Start Page: | 1447 |
| End Page: | 1450 |
| Publisher DOI: | 10.2147/OPTH.S47045 |
| PMID: | 23885168 |
| Abstract: | Purpose: The precise mechanism causing acute macular neuroretinopathy (AMN) is still unknown. A recent report suggested that choroidal circulation impairment correlates with its pathogenesis. We report a rare case with simultaneous onset of AMN and central retinal vein occlusion (CRVO), which is a retinal circulation disorder.
Methods: Case report.
Results: A 44-year-old woman complained of central visual loss of the left eye for the previous 2 weeks. The patient’s visual acuity was 0.5 in the left eye (OS). Fundoscopic examination revealed a wedge-shaped, dark reddish-brown lesion at the macula, and CRVO-like retinal hemorrhages OS. Fluorescein angiography revealed retinal vasculitis and hypofluorescence corresponding to the macular lesion. The patient’s scanning laser ophthalmoscopy infrared imaging result led to a diagnosis of AMN. Two weeks after corticosteroid pulse therapy, her visual acuity improved to 1.2 OS, with improvement of macular findings and Humphrey perimetry. When the dose of oral corticosteroid was decreased, the AMN lesion worsened, with recurrence of retinal hemorrhages. Visual functions improved again after an increased dose of corticosteroid.
Conclusion: These results suggest that circulatory disorders almost simultaneously
occurred in choroidal and retinal vessels, resulting in the onset of both AMN and CRVO. |
| Relation: | http://www.dovepress.com/a-patient-with-acute-macular-neuroretinopathy-and-central-retinal-vein-peer-reviewed-article-OPTH |
| Type: | article |
| URI: | http://hdl.handle.net/2115/54612 |
| Appears in Collections: | 医学院・医学研究院 (Graduate School of Medicine / Faculty of Medicine) > 雑誌発表論文等 (Peer-reviewed Journal Articles, etc)
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Submitter: 石田 晋
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