Acute macular neuroetinopathy.

A case of a 24-year-old woman who developed 3 positive scotomas around the fixation point in her left eye while convalescing from a viral upper respiratory infection is reported. The patient had been taking oral contraceptives (OCs) for many years. 3 corresponding lesions were observed in the fundus which appeared to be characteristic of acute macular neuroretinopathy. Although OCs and viral illness have been associated with acute macular neuroretinopathy no etiology was proven in this case. The patient refused to discontinue OC use and remained symptomatic at 6-months follow-up.