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ACUTE MACULAR NEURORETINOPATHY WITHOUT NEAR-INFRARED REFLECTANCE—AN ATYPICAL CASE PRESENTATION

Background: Acute macular neuroretinopathy is a rare disease that with the help of multimodal imaging is being diagnosed more frequently. Methods: An atypical case is presented and followed by multimodal imaging. Results: A typical acute macular neuroretinopathy lesion was seen on biomicroscopic examination and spectral domain optical coherence tomography examination. However, near-infrared imaging revealed a lack of the characteristic finding along with a relative afferent pupillary defect and a widespread depressed multifocal electroretinogram which has not been reported previously. Conclusion: This patient exhibits photoreceptor and outer retinal findings commonly described in acute macular neuroretinopathy lesion without classic near-infrared findings. This case may represent a severe form of acute macular neuroretinopathy.