Bilateral Sequential Paracentral Acute Middle Maculopathy

We aim to present a case with bilateral sequential paracentral acute middle maculopathy (PAMM). A 57-year-old man presented with paracentral scotoma in the left eye. The patient’s multimodal imaging findings were consistent with PAMM in the left eye. Extensive systemic work-up revealed hypertension...

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Main Authors: İlkay Kılıç Müftüoğlu, Ecem Önder Tokuç, V. Levent Karabaş
Format: Article
Language:English
Published: Galenos Yayinevi 2021-12-01
Series:Türk Oftalmoloji Dergisi
Subjects:
Online Access: http://www.oftalmoloji.org/archives/archive-detail/article-preview/bilateral-sequential-paracentral-acute-middle-macu/50638
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author İlkay Kılıç Müftüoğlu
Ecem Önder Tokuç
V. Levent Karabaş
author_facet İlkay Kılıç Müftüoğlu
Ecem Önder Tokuç
V. Levent Karabaş
author_sort İlkay Kılıç Müftüoğlu
collection DOAJ
description We aim to present a case with bilateral sequential paracentral acute middle maculopathy (PAMM). A 57-year-old man presented with paracentral scotoma in the left eye. The patient’s multimodal imaging findings were consistent with PAMM in the left eye. Extensive systemic work-up revealed hypertension and a history of cerebrovascular event. One year after initial presentation, the patient had a subsequent decrease in visual acuity in the right eye and developed optical coherence tomography findings consistent with PAMM, whereas the left eye showed resolved PAMM findings. Although rare, PAMM can occur bilaterally. Clinicians should monitor unilateral PAMM patients with systemic vasculopathy for involvement in the fellow eye.
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spelling doaj.art-bbb5d0a5895e4a93bc69190c37331cbe2023-02-15T16:17:41ZengGalenos YayineviTürk Oftalmoloji Dergisi1300-06592147-26612021-12-0151640340610.4274/tjo.galenos.2021.5020713049054Bilateral Sequential Paracentral Acute Middle Maculopathyİlkay Kılıç Müftüoğlu0Ecem Önder Tokuç1V. Levent Karabaş2 Sağlık Bilimleri Üniversitesi, İstanbul Eğitim ve Araştırma Hastanesi, Göz Hastalıkları Anabilim Dalı, İstanbul, Türkiye University of Health Sciences Turkey, Derince Training and Research Hospital, Clinic of Ophthalmology, Kocaeli, Turkey Kocaeli Üniversitesi Tıp Fakültesi, Göz Hastalıkları Anabilim Dalı, Kocaeli, Türkiye We aim to present a case with bilateral sequential paracentral acute middle maculopathy (PAMM). A 57-year-old man presented with paracentral scotoma in the left eye. The patient’s multimodal imaging findings were consistent with PAMM in the left eye. Extensive systemic work-up revealed hypertension and a history of cerebrovascular event. One year after initial presentation, the patient had a subsequent decrease in visual acuity in the right eye and developed optical coherence tomography findings consistent with PAMM, whereas the left eye showed resolved PAMM findings. Although rare, PAMM can occur bilaterally. Clinicians should monitor unilateral PAMM patients with systemic vasculopathy for involvement in the fellow eye. http://www.oftalmoloji.org/archives/archive-detail/article-preview/bilateral-sequential-paracentral-acute-middle-macu/50638 pammparacentral acute middle maculopathyhypertensioncerebrovascular event
spellingShingle İlkay Kılıç Müftüoğlu
Ecem Önder Tokuç
V. Levent Karabaş
Bilateral Sequential Paracentral Acute Middle Maculopathy
Türk Oftalmoloji Dergisi
pamm
paracentral acute middle maculopathy
hypertension
cerebrovascular event
title Bilateral Sequential Paracentral Acute Middle Maculopathy
title_full Bilateral Sequential Paracentral Acute Middle Maculopathy
title_fullStr Bilateral Sequential Paracentral Acute Middle Maculopathy
title_full_unstemmed Bilateral Sequential Paracentral Acute Middle Maculopathy
title_short Bilateral Sequential Paracentral Acute Middle Maculopathy
title_sort bilateral sequential paracentral acute middle maculopathy
topic pamm
paracentral acute middle maculopathy
hypertension
cerebrovascular event
url http://www.oftalmoloji.org/archives/archive-detail/article-preview/bilateral-sequential-paracentral-acute-middle-macu/50638
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AT ecemondertokuc bilateralsequentialparacentralacutemiddlemaculopathy
AT vleventkarabas bilateralsequentialparacentralacutemiddlemaculopathy