{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,22]],"date-time":"2026-07-22T15:02:29Z","timestamp":1784732549019,"version":"3.55.0"},"reference-count":14,"publisher":"BMJ","issue":"7","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2026,6,27]]},"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:p>A man in his 60s with type 2 diabetes mellitus and hypertension presented with complaints of constant brown spots in his vision 2\u2009weeks after he experienced cardiac arrest during an endoscopy with general anaesthesia. Dilated fundus examination (DFE) showed radial reddish-brown lesions around the fovea bilaterally, which were also seen on fundus photography. Areas of hyper-reflectivity between the outer retinal layers and disruption of the ellipsoid zone were noted on spectral domain-optical coherence tomography of both eyes. One month after presentation, the patient reported resolution of the scotomas and the lesions appeared to be improving on DFE. This is the first reported case of acute macular neuroretinopathy after either endoscopy or general anaesthesia associated with cardiac arrest.<\/jats:p>","DOI":"10.1136\/bcr-2025-268290","type":"journal-article","created":{"date-parts":[[2026,7,22]],"date-time":"2026-07-22T14:20:19Z","timestamp":1784730019000},"page":"e268290","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Acute macular neuroretinopathy after endoscopy with general anaesthesia in association with cardiac arrest"],"prefix":"10.1136","volume":"19","author":[{"given":"Lauren","family":"Dimalanta","sequence":"first","affiliation":[{"name":"Ophthalmology, The University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, North Carolina, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alice Yang","family":"Zhang","sequence":"additional","affiliation":[{"name":"Ophthalmology, The University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, North Carolina, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2026,7,22]]},"reference":[{"key":"2026072207201068000_19.7.e268290.1","unstructured":"Acute macular neuroretinopathy. EyeWiki; 2024. Available: https:\/\/eyewiki.org\/Acute_Macular_Neuroretinopathy"},{"key":"2026072207201068000_19.7.e268290.2","doi-asserted-by":"publisher","DOI":"10.1016\/j.survophthal.2016.03.003"},{"key":"2026072207201068000_19.7.e268290.3","doi-asserted-by":"crossref","first-page":"72","DOI":"10.1016\/j.jfo.2022.09.008","article-title":"Acute macular neuroretinopathy and COVID-19 vaccination: Case report and literature review","volume":"46","author":"Fekri","year":"2023","journal-title":"J Fr Ophtalmol"},{"key":"2026072207201068000_19.7.e268290.4","doi-asserted-by":"crossref","DOI":"10.1093\/gastro\/goac069","article-title":"Endo-anesthesia: a primer","volume":"10","author":"Bazerbachi","year":"2022","journal-title":"Gastroenterol Rep (Oxf)"},{"key":"2026072207201068000_19.7.e268290.5","doi-asserted-by":"crossref","first-page":"2118","DOI":"10.1016\/j.cgh.2019.10.011","article-title":"Complications of Anesthesia Services in Gastrointestinal Endoscopic Procedures","volume":"18","author":"Lieber","year":"2020","journal-title":"Clin Gastroenterol Hepatol"},{"key":"2026072207201068000_19.7.e268290.6","doi-asserted-by":"publisher","DOI":"10.3748\/wjg.v20.i11.3056"},{"key":"2026072207201068000_19.7.e268290.7","first-page":"419","article-title":"Corneal injury after routine gastrointestinal endoscopy with moderate sedation","volume":"32","author":"Dixon","year":"2019","journal-title":"Ann Gastroenterol"},{"key":"2026072207201068000_19.7.e268290.8","doi-asserted-by":"crossref","DOI":"10.1136\/bcr-2020-238625","article-title":"Acute macular neuroretinopathy in a patient with acute coronary syndrome","volume":"13","author":"Agarwal","year":"2020","journal-title":"BMJ Case Rep"},{"key":"2026072207201068000_19.7.e268290.9","doi-asserted-by":"publisher","DOI":"10.1016\/S1072-7515(02)01210-3"},{"key":"2026072207201068000_19.7.e268290.10","doi-asserted-by":"crossref","first-page":"101793","DOI":"10.1016\/j.ajoc.2023.101793","article-title":"Acute macular neuroretinopathy secondary to central retinal artery occlusion","volume":"29","author":"Sarrasin","year":"2023","journal-title":"Am J Ophthalmol Case Rep"},{"key":"2026072207201068000_19.7.e268290.11","unstructured":"Paracentral acute middle maculopathy. EyeWiki; 2024. Available: https:\/\/eyewiki.org\/Paracentral_Acute_Middle_Maculopathy"},{"key":"2026072207201068000_19.7.e268290.12","doi-asserted-by":"crossref","first-page":"100884","DOI":"10.1016\/j.preteyeres.2020.100884","article-title":"Paracentral acute middle maculopathy and the organization of the retinal capillary plexuses","volume":"81","author":"Scharf","year":"2021","journal-title":"Prog Retin Eye Res"},{"key":"2026072207201068000_19.7.e268290.13","doi-asserted-by":"crossref","first-page":"136","DOI":"10.1016\/j.ajo.2021.07.004","article-title":"Coincident PAMM and AMN and Insights Into a Common Pathophysiology","volume":"236","author":"Iovino","year":"2022","journal-title":"Am J Ophthalmol"},{"key":"2026072207201068000_19.7.e268290.14","doi-asserted-by":"crossref","first-page":"343","DOI":"10.1097\/ICB.0000000000000709","article-title":"Retinal microvasculature alteration in paracentral acute middle maculopathy and acute macular neuroretinopathy: a quantitative optical coherence tomography angiography study","volume":"14","author":"Kulikov","year":"2020","journal-title":"Retin Cases Brief Rep"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2025-268290","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,22]],"date-time":"2026-07-22T14:20:23Z","timestamp":1784730023000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2025-268290"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7]]},"references-count":14,"journal-issue":{"issue":"7","published-online":{"date-parts":[[2026,7,22]]},"published-print":{"date-parts":[[2026,7]]}},"alternative-id":["10.1136\/bcr-2025-268290"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2025-268290","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7]]}}}