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A Case of Paracentral Acute Middle Maculopathy Occurring After Pars Plana Vitrectomy

Gulsah Gumus1, Nese Alagoz2, Cengiz Alagoz2

  • 1Department of Ophtalmology, Gaziantep Dr. Ersin Arslan Training and Research Hospital, Gaziantep, Turkey.

Beyoglu Eye Journal
|January 10, 2022
PubMed

Insights

Paracentral acute middle maculopathy (PAMM) is a retinal vascular condition. This case report details PAMM occurring after pars plana vitrectomy surgery.

Area of Science:

  • Ophthalmology
  • Retinal Vascular Diseases
  • Macular Disorders

Background:

  • Paracentral acute middle maculopathy (PAMM) is characterized by ischemia in the retinal middle and deep capillary plexuses.
  • PAMM is often linked to systemic and vascular risk factors.
  • The pathogenesis of PAMM is not fully understood.

Observation:

  • This report presents a case of PAMM.
  • The patient developed PAMM subsequent to a pars plana vitrectomy.
  • This association is not previously well-documented.

Findings:

  • The case highlights a potential complication of pars plana vitrectomy.
  • It suggests that surgical procedures can precipitate retinal vascular events.
  • Further investigation into surgical impacts on retinal circulation is warranted.

Implications:

  • This case broadens the known associations of PAMM.
  • It underscores the importance of considering iatrogenic causes for retinal ischemia.
  • Ophthalmologists should be aware of this potential postoperative complication.
Keywords:
Ischemiaparacentral acute middle maculopathypars plana vitrectomy

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