Acute Macular Neuro-retinopathy: a Rare Retinal Disorder, Presenting as Paracentral Scotoma

Acute Macular Neuro-retinopathy (AMN) is a rare clinical entity. We present case of 26 years old male who presented with one-week history sudden onset decrease vision in left eye associated paracentral scotomas. Dilated fundus examination the showed multiple reddish brownish petalloid para-foveal lesions apex pointing toward fovea. OCT hyper-reflective bands Outer Nuclear Layer and Plexiform along disruption ellipsoid zones. Amsler grid drawn by patient visual field scotoma corresponding to macular lesion. The cause turned out be undiagnosed essential hypertension. Purpose presenting this that High Definition Optical coherence tomography (SD-OCT) makes diagnosis some conditions easy fast for an ophthalmologist, might misdiagnosed or missed conventional FFA imaging test.
 Key Words: Neuro-retinopathy, Spectral Domain Coherence Tomography, Paracentral Scotoma.