case_images: PMC10618009_01
case_images: Fundus photographs and 24-2 Humphrey visual fields at initial visit. a, b Pseudo-color ultra-widefield fundus photograph demonstrating macular drusen but otherwise normal optic disks, normal vessels and no signs of major vascular occlusions or emboli. A small peripapillary dot blot hemorrhage was present in the RE. c, d 24-2 Humphrey automated visual fields demonstrating nonspecific peripheral changes bilaterally, with a small central scotoma in the RE. RE, right eye.
case_images: cop-2023-0014-0001-534346_F01.jpg
case_images: PMC10618009_01_cop-2023-0014-0001-534346_F01.jpg
case_images: F1
case_images: Fundus examination revealed macular drusen but otherwise normal optic discs, normal vessels, and no signs of vascular occlusions or emboli (shown in Fig. 1a, b). Automated visual field testing showed nonspecific peripheral changes bilaterally and a small central scotoma in the RE (shown in Fig. 1c, d).
case_images: Spectral domain OCT, en face OCT, and optical coherence tomography angiography at initial visit. a, b SD-OCT of the RE showing an area of perifoveal band-like hyperreflectivity of the middle retinal layers, predominantly involving the INL and small and intermediate drusen. c SD-OCT of the LE showing intact retinal laminations and small drusen. d, e En face OCT and OCT-A of the RE demonstrating an ovoid focal patch of hyperreflectivity with corresponding flow deficit of the deep retinal capillary plexus (between the white arrows), characteristic of globular PAMM. SD-OCT, spectral domain OCT; RE, right eye; INL, inner nuclear layer; LE, left eye; OCT-A, optical coherence tomography angiography; PAMM, paracentral acute middle maculopathy.
case_images: cop-2023-0014-0001-534346_F02.jpg
case_images: PMC10618009_01_cop-2023-0014-0001-534346_F02.jpg
case_images: F2
case_images: Spectral domain OCT showed an area of perifoveal band-like hyperreflectivity of the middle retinal layers (predominantly involving the INL) consistent with PAMM (shown in Fig. 2a, b). The mid-retina en face OCT and OCT angiography demonstrated an ovoid focal patch of hyperreflectivity with corresponding flow deficit of the deep retinal capillary plexus, characteristic of globular PAMM (shown in Fig. 2d, e).