Acute Macular Neuroretinopathy
Simulate acute macular neuroretinopathy (AMN) — a rare retinal condition caused by
ischaemia of the deep retinal capillary plexus (DCP) and outer plexiform / Henle fibre
layers, producing characteristic dark wedge-shaped or petal-like paracentral scotomas
that point toward fixation. AMN predominantly affects young women within days of a
viral or flu-like prodrome, oral contraceptive use, sympathomimetic exposure (epinephrine,
pseudoephedrine), hypotension, or contrast dye injection. The lesions appear as
reddish-brown petal-shaped areas on fundoscopy and infrared reflectance imaging, and
correspond precisely to regions of DCP flow void on OCT angiography (OCT-A) with
disruption of the outer plexiform and Henle fibre layers on structural OCT. Model
deep capillary plexus ischaemia patterns, paracentral scotoma wedge profiles, and
combined outer retinal disruption. Inspect ΔE colour shift, CIE xy chromaticity
displacement, and image-level visual field impairment. Advanced retinal vascular
imaging and neuro-ophthalmology research tool.
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