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Case Reports
. 2020 Summer;14(3):221-223.
doi: 10.1097/ICB.0000000000000679.

PARACENTRAL ACUTE MIDDLE MACULOPATHY IN PREGNANCY

Xuejing Chen  1   2 , Shilpa J Desai  1   2 , Caroline R Baumal  1
Affiliations
Case Reports

PARACENTRAL ACUTE MIDDLE MACULOPATHY IN PREGNANCY

Xuejing Chen et al. Retin Cases Brief Rep. 2020 Summer.

Abstract

Purpose: To describe a case of paracentral acute middle maculopathy (PAMM) during the first trimester of pregnancy without other ocular or systemic comorbidities.

Methods: Case report.

Results: A 31-year-old woman in her first trimester of pregnancy presented with a paracentral scotoma in the absence of other retinal pathology or systemic associations. Optical coherence tomography showed a classic acute PAMM lesion, and optical coherence tomography angiography showed preservation of vascular flow in the area of the PAMM lesion 1 week after symptom onset. Subsequent workup for underlying systemic disease that can affect the retinal vasculature was negative.

Conclusion: Paracentral acute middle maculopathy lesions have been described in eyes with retinal vascular disease and in people with systemic vascular diseases or events. This is the first described case of a PAMM lesion in the absence of associated factors other than an uncomplicated pregnancy.

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References

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    1. Chen X, Rahimy E, Sergott RC, et al. Spectrum of retinal vascular diseases associated with paracentral acute middle maculopathy. Am J Ophthalmol 2015;160:26–34.e1.
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    1. Dansingani KK, Inoue M, Engelbert M, Freund KB. Optical coherence tomographic angiography shows reduced deep capillary flow in paracentral acute middle maculopathy. Eye 2015;29:1620–1624.

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