Simultaneous paracentral acute middle maculopathy and purtscher-like retinopathy after acute febrile illness

Niyousha, Mohammad Reza; Hassanpoor, Narges; Eftekhari, Amirabdollah; Mousvi, Faride

doi:10.1016/j.jcjo.2017.11.020

Cited by 11 publications

(4 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“… 3 In our case, however, we observed no findings suggesting branch artery occlusion and filling defect was not detected. In their case report, Niyousha et al 12 observed hypofluorescence in the affected retinal area on fundus fluorescein angiography of the eye with PAMM, as in our case. We attributed the hypofluorescence observed on fundus fluorescein angiography imaging of our patient to a reduction in fluorescence due to retinal thickening.…”

Section: Discussionsupporting

confidence: 75%

Paracentral Acute Middle Maculopathy

Kiyat¹,

Değirmenci²,

Nalçacı³

et al. 2020

tjo

View full text Add to dashboard Cite

Paracentral acute middle maculopathy (PAMM) is a variant of acute macular neuroretinopathy which is characterized by a hyperreflective band-like lesion in the inner nuclear layer and outer plexiform layer on spectral domain optical coherence tomography (SD-OCT). The etiology is believed to involve vasopressor exposure or systemic microvascular diseases that cause retinal ischemia. SD-OCT is the main imaging method in the diagnosis or evaluation of progression of PAMM, whereas multimodal imaging is useful to support the diagnosis. Herein, we present a case of PAMM in a healthy young woman using multimodal imaging methods.

show abstract

Section: Discussionsupporting

confidence: 75%

Paracentral Acute Middle Maculopathy

Kiyat¹,

Değirmenci²,

Nalçacı³

et al. 2020

tjo

View full text Add to dashboard Cite

show abstract

“…However, in the literature we did not find any atypical PAMM cases involving all capillary plexuses as in our case. In the literature, there are postviral PAMM cases that develop after flu-like symptoms, but the difference from our case was that they appeared to hold the ICP and DCP with diffuse bilateral involvement, which occurred with a Purtscher-like hypopigmented cotton wool spot appearance [ 8 , 9 ]. In our case, we detected a hyperpigmented PAMM appearance involving both SCP, ICP and DCP, causing involvement in unilateral, perifoveal and parafoveal areas, and electrophysiological changes in these areas.…”

Section: Discussionmentioning

confidence: 87%

Inner retinal layer ischemia and vision loss after COVID-19 infection: A case report

Sönmez

Polat

Erkan

2021

Photodiagnosis and Photodynamic Therapy

View full text Add to dashboard Cite

“…It is possible that recurrent osteomyelitis and bilateral foot infections triggered an inflammatory response that led to PLR and sudden-onset bilateral vision loss. Viral illnesses have been associated with PLR following a potentially similar vasculitic mechanism [ 6 , 7 ].…”

Section: Discussionmentioning

confidence: 99%

Purtscher-like retinopathy in a 19-year-old with maturity-onset diabetes of the young: a case report

Javaheri

Hosseini

et al. 2023

J Med Case Reports

View full text Add to dashboard Cite

Background We report the first case of Purtscher-like retinopathy in a patient with 17q12 deletion-associated maturity-onset diabetes of the young. Case presentation A 19-year-old diabetic Hispanic male with history of cataracts and toe amputations presented with sudden onset of painless bilateral vision loss for 1 week with no associated trauma. Visual acuity was counting fingers at six feet in both eyes. Dilated retinal examination revealed bilateral peripapillary cotton wool spots and intraretinal hemorrhages, and significant subretinal and intraretinal fluid on optical coherence tomography. Fluorescein angiography revealed arteriolar staining and leakage around the disc with areas of capillary nonperfusion, supporting the diagnosis of Purtscher-like retinopathy. Systemic workup revealed multiple diabetic complications including chronic osteomyelitis of multiple toes, nonhealing diabetic foot ulcers, neurogenic bladder and bowel, and bilateral lower-extremity muscular neuropathies. Genetic evaluation revealed a 17q12 deletion, which is associated with maturity-onset diabetes of the young 5. On follow-up examination, he received a single intravitreal antivascular endothelial growth factor injection in the left eye (off label) for persistent macular edema. Although his retinal edema improved, his visual acuity remained poor. Conclusions The presentation of our patient’s multiple diabetic complications along visual symptoms suggests Purtscher-like retinopathy can be a sequela of uncontrolled diabetes. Purtscher-like retinopathy is a rare but possible consideration in diabetic patients who present with acute-onset vision loss.

show abstract

Simultaneous paracentral acute middle maculopathy and purtscher-like retinopathy after acute febrile illness

Cited by 11 publications

References 9 publications

Paracentral Acute Middle Maculopathy

Paracentral Acute Middle Maculopathy

Inner retinal layer ischemia and vision loss after COVID-19 infection: A case report

Purtscher-like retinopathy in a 19-year-old with maturity-onset diabetes of the young: a case report

Contact Info

Product

Resources

About