Late PAMM-Like Lesions in a Patient with HIV Retinopathy

This report describes a case of a newly diagnosed 49-year-old HIV patient, who presented with decreased visual acuity and retinal lesions characterized by ischemia at the level of the deep retinal capillary plexus, documented with optical coherence tomography (OCT), OCT angiography, fluorescein angi...

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Main Authors: Menelaos Kanakis, Ilias Georgalas, Vassilios Kozobolis, Alexandra Lekkou, Efthymios Karmiris, Panagiotis Stavrakas
Format: Article
Language:English
Published: Karger Publishers 2023-01-01
Series:Case Reports in Ophthalmology
Subjects:
Online Access:https://www.karger.com/Article/FullText/528408
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author Menelaos Kanakis
Ilias Georgalas
Vassilios Kozobolis
Alexandra Lekkou
Efthymios Karmiris
Panagiotis Stavrakas
author_facet Menelaos Kanakis
Ilias Georgalas
Vassilios Kozobolis
Alexandra Lekkou
Efthymios Karmiris
Panagiotis Stavrakas
author_sort Menelaos Kanakis
collection DOAJ
description This report describes a case of a newly diagnosed 49-year-old HIV patient, who presented with decreased visual acuity and retinal lesions characterized by ischemia at the level of the deep retinal capillary plexus, documented with optical coherence tomography (OCT), OCT angiography, fluorescein angiography, and visual fields testing. These lesions closely resembled the morphologic and clinical characteristics of late paracentral acute middle maculopathy. The presence of these lesions suggests that HIV microangiopathy can potentially affect both superficial and deep retinal capillary plexuses.
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spelling doaj.art-e03938713ca24db990c8d9644266dfe12023-02-09T15:14:03ZengKarger PublishersCase Reports in Ophthalmology1663-26992023-01-01141232810.1159/000528408528408Late PAMM-Like Lesions in a Patient with HIV RetinopathyMenelaos Kanakis0https://orcid.org/0000-0001-7554-5943Ilias Georgalas1Vassilios Kozobolis2Alexandra Lekkou3https://orcid.org/0000-0002-9264-2988Efthymios Karmiris4https://orcid.org/0000-0002-4091-9236Panagiotis Stavrakas5University Eye Clinic, University of Patras School of Medicine, Rion University Hospital, Patras, Greece1st Athens University Eye Clinic, National and Kapodistrian University of Athens, G. Gennimatas Hospital, Athens, GreeceUniversity Eye Clinic, University of Patras School of Medicine, Rion University Hospital, Patras, GreeceDivision of Internal Medicine, University of Patras School of Medicine, Rion University Hospital, Patras, GreeceOphthalmology Department, Hellenic Air Force General Hospital., Athens, GreeceUniversity Eye Clinic, University of Patras School of Medicine, Rion University Hospital, Patras, GreeceThis report describes a case of a newly diagnosed 49-year-old HIV patient, who presented with decreased visual acuity and retinal lesions characterized by ischemia at the level of the deep retinal capillary plexus, documented with optical coherence tomography (OCT), OCT angiography, fluorescein angiography, and visual fields testing. These lesions closely resembled the morphologic and clinical characteristics of late paracentral acute middle maculopathy. The presence of these lesions suggests that HIV microangiopathy can potentially affect both superficial and deep retinal capillary plexuses.https://www.karger.com/Article/FullText/528408paracentral acute middle maculopathypammhivhiv retinopathy
spellingShingle Menelaos Kanakis
Ilias Georgalas
Vassilios Kozobolis
Alexandra Lekkou
Efthymios Karmiris
Panagiotis Stavrakas
Late PAMM-Like Lesions in a Patient with HIV Retinopathy
Case Reports in Ophthalmology
paracentral acute middle maculopathy
pamm
hiv
hiv retinopathy
title Late PAMM-Like Lesions in a Patient with HIV Retinopathy
title_full Late PAMM-Like Lesions in a Patient with HIV Retinopathy
title_fullStr Late PAMM-Like Lesions in a Patient with HIV Retinopathy
title_full_unstemmed Late PAMM-Like Lesions in a Patient with HIV Retinopathy
title_short Late PAMM-Like Lesions in a Patient with HIV Retinopathy
title_sort late pamm like lesions in a patient with hiv retinopathy
topic paracentral acute middle maculopathy
pamm
hiv
hiv retinopathy
url https://www.karger.com/Article/FullText/528408
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