PMC5204087_01
Grey-scale images from Humphrey visual field testing demonstrating paracentral scotomas, right worse (R) than left (L).
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fig1
Central and paracentral scotomas were noted on Amsler grid testing, worse in the right eye, and confirmed with Humphrey visual field testing (Figure 1).
Fundus photographs from the right (R) and left (L) eyes, demonstrating tortuous and beaded retinal veins (heavy black arrows), intraretinal haemorrhages (white arrows), and cotton wool spots (dashed black arrows).
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fig2
Multiple, perimacular, and intraretinal haemorrhages with occasional cotton wool spots were seen in both eyes (Figure 2).
Optical coherence tomographic images of the right (a) and left (b) eyes, demonstrating intraretinal haemorrhage (white arrows (a)), a hyperreflective lesion in the outer nuclear layer with diffuse thickening (black arrow (a)), and increased hyperreflectivity at the level of the outer nuclear layer, external limiting membrane, ellipsoid zone, and interdigitation zone consistent with an acute macular neuroretinopathy (AMN) (black arrow (b)).
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fig3
Optical coherence tomography (OCT) was performed which confirmed the fundoscopic findings of intraretinal haemorrhage (Figure 3(a)) and demonstrated hyperreflective lesions involving the outer nuclear layer (Figures 3(a) and 3(b)) and photoreceptor outer segments, encroaching onto the retinal pigment epithelial layer indicating an acute macular neuroretinopathy (AMN) picture as part of a clinical panuveitis complex (Figure 3(b)).