A UNIQUE CASE OF ACUTE MACULAR NEURORETINOPATHY ASSOCIATED WITH XXXX WOOL SPOTS AND INTRARETINAL FLUID.

@entity1 @entity227 @entity697 @entity2708 @entity63 @entity75 @entity1613
PURPOSE: To discuss the clinical findings in a unique case of @entity697 with a focus on the pathophysiology of this rare entity. METHODS: The @entity1 's clinical course was documented with color fundus photography and spectral domain ocular coherence tomography registered to infrared reflectance imaging. The visual field was assessed using the Amsler grid testing and Humphrey visual field 24-2. RESULTS: Initial fundus photography showed @entity2708 wool spots and slight darkening of the central macula in each eye. Optical coherence tomography showed @entity1613 at the level of the outer plexiform layer/outer nuclear layer junction with subsequent thinning of the outer nuclear layer and corresponding disruption of the ellipsoid and outer segment/retinal pigment epithelium. Infrared reflectance imaging revealed @entity75 in each eye with corresponding @entity227 on the Amsler grid and visual field testing. The hyporeflective infrared lesions became more discreet during the ensuing weeks and remained stable beyond 11 weeks. CONCLUSION: The authors present the case of a 15-year-old @entity1 diagnosed with @entity697 . This case is notable in that she presented with @entity2708 wool spots and intraretinal fluid, both of which are unusual for @entity697 . The authors suggest that the presence of @entity2708 wool spots and several small foci of intraretinal fluid seen in their @entity1 may lend support to the @entity63 hypothesis described by Sarraf et al. The optical coherence tomography images obtained in this case have the typical wedge-shaped or petaloid configuration, and the authors suggest that the shape of the lesions themselves also lends support to a vascular mechanism.
