Dr.RAGHUDEV BHATTACHARJEE

Abstract

PURPOSE: Profiling retinal conditions leading to paracentral acute middle maculopathy(PAMM) with Multimodal imaging.

METHODS: Retrospective single center, interventional study of 6 patients of PAMM.

RESULTS: 5 were male and 1 was female (mean age, 52.5 years). PAMM developed without any ocular pathology(33%) or secondary to central retinal vein occlusion(17%), diabetic retinopathy(17%) & tributary vein occlusion(17%) & cilioretinal artery occlusion(16%). On multicolor imaging, lesion is depicted in green. In SD-OCT, either hyperreflective band or thinning was noted. OCTA revealed area of capillary abnormality in the deep capillary plexus(DCP) alone in 83.33%(5/6) or alongwith superficial capillary plexus(SCP) in 16.6% cases . 33%(2/6) patients had cystoid macular edema with PAMM which was found to be refractory to the AntiVEGF treatment.

CONCLUSION: PAMM can be identified with SD-OCT, OCTA and Multicolour imaging. Cystoid macular edema with PAMM has prognostic importance.