Abstract

MOLINA CISNEROS, Ceija et al. Paracentral Acute Middle Maculopathy and Acute Macular Neuroretinopathy. Rev Cubana Oftalmol [online]. 2023, vol.36, n.4  Epub Feb 15, 2024. ISSN 1561-3070.

Acute macular neuroretinopathy is a rare condition with complex pathogenesis and microvascular cause. It appears with acute onset, with paracentral scotomas corresponding to obvious paramacular lesions. Advances in multimodal imaging made it possible to characterize this retinal disorder and to create new concepts. Serraf, in 2013, identified two forms by spectral domain optical coherence tomography: type 1, known as paracentral acute middle maculopathy, in which a hyperreflective band is observed in the inner nuclear layer; and type 2, in which the hyperreflective band is located in the outer nuclear layer, involving the ellipsoid zone and the zone of interdigitation with the retinal pigment epithelium. Up to this moment, there is no cure; but it is possible to act on the risk factors. Because it is a rare condition and because there are no reports so far in Cuba, two patients with similar clinical pictures of these two variants are presented; concluding the importance of multimodal images as an auxiliary diagnostic tool.

Keywords : paracentral acute middle maculopathy; acute macular neuroretinopathy; spectral domain optical coherence tomography (SD-OCT); optical coherence tomography angiography (OCT-A).