Bilateral acute macular neuroretinopathy in a postpartum, otherwise healthy female: A case report

Acute macular neuroretinopathy (AMN) is a rare, macular disorder which typically affects young women who present with paracentral scotoma in one or both eyes corresponding to red, wedge-shaped parafoveal lesions. A young female presented with the complaints of few black spots (scotomas) in her visual field, which she noticed 1 month after a full-term normal delivery. Fundus examination showed flat, well-demarcated, reddish parafoveal lesions in both eyes, corresponding to the scotoma. Optical coherence tomography (OCT) at the site of lesion showed a well-delineated defect in the reflectivity of outer retinal layer. After 6 months of follow-up, fundus lesions were noted to be fading and repeat OCT revealed the realignment of the defect in the outer retinal reflectivity.