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Paracentral acute middle maculopathy following hepatitis B vaccine
Verena R Juncal1,2, Aditya Bansal1,2, Hesham Hamli1,2
1Department of Ophthalmology, St. Michael's Hospital / Unity Health, Toronto, Canada.
Insights
A rare case of paracentral acute middle maculopathy (PAMM) was observed in a child following the Hepatitis B vaccine. Prompt recognition of such rare vaccine-associated ocular complications is crucial.
Area of Science:
- Ophthalmology
- Vaccinology
- Pediatrics
Background:
- Vaccines are critical for public health.
- Rare ocular complications can occur following vaccination.
- Paracentral acute middle maculopathy (PAMM) is a condition affecting the macula.
Observation:
- A 12-year-old female developed paracentral acute middle maculopathy (PAMM) in her right eye.
- The onset of PAMM was temporally associated with a recent Hepatitis B vaccination.
Findings:
- The case highlights a potential, albeit rare, association between Hepatitis B vaccine and PAMM.
- This emphasizes the need for vigilance regarding vaccine safety and potential adverse events.
Implications:
- Clinicians should consider vaccine-associated ocular complications in the differential diagnosis of visual disturbances post-vaccination.
- Further research may be warranted to understand the mechanisms and incidence of vaccine-associated PAMM.
Purpose:
To report a case of paracentral acute middle maculopathy (PAMM) following Hepatitis B vaccine in a child.
Observations:
A 12-year-old healthy female presented with a paracentral scotoma in the right eye due to PAMM, likely associated with a recent Hepatitis B vaccine.
Conclusions:
Despite the great importance of vaccines, it is critical to promptly recognize their rare ocular complications, such as the vaccine associated PAMM described in this report.
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