Paracentral acute middle maculopathy and acute macular neuroretinopathy

Type 1 acute macular neuroretinopathy (AMN), also known as paracentral acute middle maculopathy (PAMM), is a novel form of AMN in which spectral-domain optical coherence tomography (SD-OCT) demonstrates a characteristic hyper-reflective band-like lesion at the level of the inner nuclear layer. This form of AMN has only recently been described in five patients who were predominantly older men with vasculopathy. Herein, we describe a young, healthy female patient with classic features of type 1 AMN or PAMM with SD-OCT.