We cannot see what she cannot ignore

Vaphiades, Michael S.; Grondines, Brendan

doi:10.1016/j.survophthal.2018.02.001

Cited by 1 publication

(2 citation statements)

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“…PAMM appears ophthalmoscopically as a deep grey-ish or whitish, poorly demarcated lesion in the parafoveal areas, but the fundus lesion can be subtle and easily missed on routine fundus examination. 6,7 However, OCT demonstrates a distinctive hyperreflective band involving the INL, in the acute phase, and INL thinning, in the chronic phase. 8 OCT angiography (OCTA) is a new diagnostic tool, which allows to identify three different retinal capillary plexuses in vivo: superficial capillary plexus (SCP), inner (ICP), and deep (DCP).…”

Section: Discussionmentioning

confidence: 99%

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Paracentral Acute Middle Maculopathy (Pamm) in Giant Cell Arteritis

Pellegrini

Mairot

Cuna³

et al. 2022

RETINAL Cases &Amp; Brief Reports

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Purpose: To describe a representative case and review the literature on paracentral acute middle maculopathy (PAMM) and giant cell arteritis (GCA).Methods: A review of the English-language ophthalmic literature was performed using the search terms of PAMM, giant cell arteritis, and temporal arteritis.Results: A 72-year-old woman with PAMM as the presenting ophthalmic manifestation of GCA was described with a review of the prior cases from the literature. It was found that there were 26 cases of PAMM in GCA. In 19 of 26 cases, PAMM was associated with no other fundus abnormalities and was only seen on multimodal imaging including optical coherence tomography.Conclusion: PAMM can cause acute paracentral visual loss, and GCA should be suspected in all cases of PAMM of the elderly patients, even when isolated and not associated with constitutional symptoms of GCA.

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Section: Discussionmentioning

confidence: 99%

“…PAMM appears ophthalmoscopically as a deep greyish or whitish, poorly demarcated lesion in the parafoveal areas, but the fundus lesion can be subtle and easily missed on routine fundus examination. 6,7 However, OCT demonstrates a distinctive hyperreflective band involving the INL, in the acute phase, and INL thinning, in the chronic phase. 8…”

Section: Discussionmentioning

confidence: 99%