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By Jonathan C. Tsui, MD
Co-author(s): Joshi, Nisarg; Marks, Steven - Uploaded on Mar 21, 2019.
- Last modified by Jonathan C. Tsui, MD on Mar 21, 2019.
- Rating
- Appears in
- PAMM
- Condition/keywords
- paracentral acute middle maculopathy
- Photographer
- Zellers, Diane
- Imaging device
- Optical coherence tomography system
- Description
- 26-year-old female with hypertension presenting with chief complaint of "darkening" in her nasal visual field in the right eye. No flashes, floaters, or vision loss. Va 20/60 and nasal VF defect OD. SD-OCT demonstrated hyperreflectivity in the INL consistent with paracentral acute middle maculopathy. She was referred to her PCP for blood pressure optimization and a cardiovascular work-up. She returned for follow-up two months later with 20/80 OD, 20/20 OS. Repeat SD-OCT demonstrated inner retinal atrophy.
