[Acute macular neuroretinopathy in a 13-year-old female patient with focal choroidal excavation and pachychoroid disease].

Acute macular neuroretinopathy (AMN) is a rare disease that causes sudden onset of paracentral scotomas. The current case report describes a 13-year-old girl with AMN adjacent to a focal choroidal excavation (FCE) with pachychoroidal features. The patient was followed for 20 months and examined with multimodal imaging. During follow-up the AMN area showed an incomplete atrophy of the outer nuclear layer, while the FCE changed along with decreasing choroidal thickness from a non-conforming into a conforming type. This case provides an interesting association of AMN, FCE and pachychoroid disease.