PARACENTRAL ACUTE MIDDLE MACULOPATHY AFTER ENDOVASCULAR COIL EMBOLIZATION.

Retinal Cases & Brief Reports
Masaki NakamuraTadashi Nakano

Abstract

To describe two cases of paracentral acute middle maculopathy (PAMM) that occurred unilaterally after endovascular coil embolization. Medical records including ophthalmic examinations of two PAMM cases were retrospectively reviewed. The first case was a 64-year-old woman with hyperlipidemia and chronic sinusitis. The second case was a 49-year-old man with hypertension, hyperlipidemia, tension headache, and vertigo. Both cases exhibited paracentral scotomas just after endovascular coil embolization. Ophthalmoscopy showed multiple faint white-yellow lesions in each affected eye. Optical coherence tomography showed hyper-reflective bands that were mainly observed in the inner nuclear layer and corresponded to the PAMM lesions. Optical coherence tomography angiography revealed variable degrees of abnormal vasculature from slight dilation, decreased visualization, to nonvisualization in the superficial capillary plexuses and similar capillary changes in deep capillary plexuses. We described two cases with PAMM that occurred after endovascular coil embolization, which was a new precursor cause of PAMM. Our results demonstrate that optical coherence tomography angiography is especially useful for not only diagnosis, but also for follo...Continue Reading

References

Aug 6, 1999·European Journal of Ophthalmology·F J Ascaso, J A Cristóbal
Feb 20, 2015·JAMA Ophthalmology·Tomas IlginisAdnan Tufail
Apr 8, 2015·American Journal of Ophthalmology·Xuejing ChenDavid Sarraf
Feb 12, 2017·Journal of Cerebrovascular and Endovascular Neurosurgery·Minwook YooByeong-Sam Choi
Feb 15, 2017·Ophthalmic Surgery, Lasers & Imaging Retina·Matthew G J TreseSandeep Randhawa

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Citations

Apr 13, 2021·European Journal of Ophthalmology·An-Ting LeeChien-Hsiung Lai

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