1. Optical Coherence Tomography Angiography Recovery Pattern of Acute Macular Neuroretinopathy

    Optical Coherence Tomography Angiography Recovery Pattern of Acute Macular Neuroretinopathy

    A 73-year-old man had acute vision loss in his right eye, following pacemaker dysfunction during the early postimplantation period. He had second-degree atrioventricular block. Best-corrected visual acuity was 20/63 OD. Anterior segment examination was unremarkable. Humphrey visual field 10-2 testing revealed a paracentral scotoma of the right eye. Fundus photography revealed a brown-reddish foveal reflex ( Figure 1 A). Near-infrared imaging showed a parafoveal multilobular hyporeflective area ( Figure 1 B). Spectral-domain optical coherence tomography (SD-OCT) (Spectralis HRA and SD-OCT; Heidelberg Engineering GmbH) demonstrated hyperreflectivity of the outer plexiform layer and Henle fiber layer associated with subretinal fluid, consistent with acute ...

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