Retina-Vitreous
2020 , Vol 29 , Num 3
Multimodal Imaging of A Patient With Bilateral Para central Acute Middle Maculopathy
1MD, University of Health Sciences Ulucanlar Eye Training and Research Hospital, Department of Ophthalmology, Ankara,Turkey2MD, Ercis State Hospital, Van, Turkey
3MD, Associate Professor of Ophthalmology, University of Health Sciences Ulucanlar Eye Training and Research Hospital, Ankara, Turkey DOI : 10.37845/ret.vit.2020.29.49 A 45-year-old woman presented with a 10-day history of paracentral scotoma in the right eye and 30-day history of paracentral scotoma in the left eye. Her best-corrected visual acuity (BCVA) was 20/200 in the right eye and 20/25 in the left eye. Both anterior segments examination results and intraocular pressure levels were normal. Fundus examination revealed superior parafoveal whitening and a few intraretinal exudations in the right eye, and cotton wool spots, intraretinal hemorrhage and exudates on the nasal parafoveal area in the left eye. Spectral domain optical coherence tomography (SD OCT) findings revealed that there were parafoveal hyperreflective plaque at the middle retinal layers in the right eye, thinning of the nasal parafoveal inner retinal layers in the left eye. OCT angiography (OCTA) revealed bilateral mild attenuation of the superficial capillary plexus (SCP), patchy areas of attenuation and capillary dropout of the deep capillary plexus (DCP). After six weeks, SD OCT demonstrated subsequent thinning with attenuation of the inner and middle retinal layers in the right eye, similar to the left eye. In this report, we documented bilateral paracentral acute middle maculopathy at different stages in patient. Multimodal imaging can be used in the evaluation of ischemic changes in retinal vascular diseases and in the diagnosis of PAMM. This disease may occur in association with systemic disorders or related retinal vascular diseases, but it should be considered that it may also occur idiopathically. Keywords : Optical coherence tomography, Optical coherence tomography angiography, Paracentral Acute Middle Maculopathy
