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Updated: May 21, 2025

A Simplified Stepwise Approach to Echo Guidance during Percutaneous Mitral Valve Repair
Published on: October 16, 2021
Bilateral paracentral acute middle maculopathy associated with open mitral valve repair
Humza Sulahria1, Ohidul Mojumder1,2, Greggory M Gahn1,3
1Sierra Eye Associates, Reno, NV, United States.
Purpose:
To disseminate a case study of Paracentral Acute Middle Maculopathy (PAMM) occurring bilaterally following open mitral valve repair.
Observations:
The patient reported to the clinic initially with severe vision loss in both eyes and abnormal findings on retinal imaging indicative of PAMM. After a follow-up of 4 weeks, the patient showed mild improvement in visual acuity. After a follow-up of 16 weeks, the patient showed significant improvement in visual acuity.
Conclusions And Importance:
There is currently no treatment for PAMM. This report provides an important case of PAMM occurring after a surgery that is the first bilateral case of its kind. It is crucial to continue researching this topic to further understand PAMM and its possible causes and indications.
Insights
This case study details bilateral Paracentral Acute Middle Maculopathy (PAMM) after heart surgery. Vision improved over 16 weeks, highlighting the need for further PAMM research.
Area of Science:
- Ophthalmology
- Cardiovascular Surgery
Background:
- Paracentral Acute Middle Maculopathy (PAMM) is a condition affecting vision.
- The occurrence of PAMM following cardiac surgery is not well-documented.

