PMID- 36994255
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20230331
IS  - 2168-8184 (Print)
IS  - 2168-8184 (Electronic)
IS  - 2168-8184 (Linking)
VI  - 15
IP  - 2
DP  - 2023 Feb
TI  - Paracentral Acute Middle Maculopathy As the Presenting Sign of Ischemic 
      Cardiomyopathy.
PG  - e35418
LID - 10.7759/cureus.35418 [doi]
LID - e35418
AB  - Paracentral acute middle maculopathy (PAMM) is a type of ischemic maculopathy 
      affecting intermediate and deep retinal capillary plexuses. A typical 
      presentation is acute onset scotoma with or without vision loss. It is 
      characterized by greyish-white parafoveal lesions. Sometimes very subtle lesions 
      can be missed on clinical examination. The main diagnostic modality is spectral 
      domain optical coherence tomography (SD-OCT) wherein focal or multifocal lesions 
      are seen as bands of hyperreflectivity in the inner nuclear and outer plexiform 
      layers. This entity can be associated with systemic microvascular diseases. Here, 
      we report an interesting case of PAMM as the only presenting sign in a patient 
      with ischemic cardiomyopathy, highlighting the necessity for a thorough systemic 
      examination in such patients.
CI  - Copyright (c) 2023, Mishra et al.
FAU - Mishra, Priyadarshini
AU  - Mishra P
AD  - Ophthalmology, All India Institute of Medical Sciences, Bhubaneswar, IND.
FAU - Mohanty, Satyapriya
AU  - Mohanty S
AD  - Cardiothoracic Surgery, All India Institute of Medical Sciences, Bhubaneswar, 
      IND.
FAU - P, Shanmugasundaram
AU  - P S
AD  - Ophthalmology, All India Institute of Medical Sciences, Bhubaneswar, IND.
FAU - Moharana, Bruttendu
AU  - Moharana B
AD  - Ophthalmology, All India Institute of Medical Sciences, Bhubaneswar, IND.
FAU - Das, Debasish
AU  - Das D
AD  - Cardiology, All India Institute of Medical Sciences, Bhubaneswar, IND.
LA  - eng
PT  - Case Reports
DEP - 20230224
PL  - United States
TA  - Cureus
JT  - Cureus
JID - 101596737
PMC - PMC10042500
OTO - NOTNLM
OT  - acute macular neuroretinopathy
OT  - amn
OT  - central retinal vein occlusion
OT  - ischemic cardiomyopathy
OT  - macular ischemia
OT  - macular oct
OT  - pamm
OT  - paracentral acute middle maculopathy
OT  - parafoveal lesion
COIS- The authors have declared that no competing interests exist.
EDAT- 2023/03/31 06:00
MHDA- 2023/03/31 06:01
PMCR- 2023/02/24
CRDT- 2023/03/30 03:03
PHST- 2023/02/24 00:00 [accepted]
PHST- 2023/03/31 06:01 [medline]
PHST- 2023/03/30 03:03 [entrez]
PHST- 2023/03/31 06:00 [pubmed]
PHST- 2023/02/24 00:00 [pmc-release]
AID - 10.7759/cureus.35418 [doi]
PST - epublish
SO  - Cureus. 2023 Feb 24;15(2):e35418. doi: 10.7759/cureus.35418. eCollection 2023 
      Feb.