Widefield en face optical coherence tomography monitoring of the peri-venular fern-like pattern of paracentral acute middle maculopathy

Autor: Prashanth G. Iyer, Swarup S. Swaminathan, Omer Trivizki, Yingying Shi, Mengxi Shen, Mary Kansora, Giovanni Gregori, Philip J. Rosenfeld
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: American Journal of Ophthalmology Case Reports, Vol 22, Iss , Pp 101047- (2021)
Druh dokumentu: article
ISSN: 2451-9936
DOI: 10.1016/j.ajoc.2021.101047
Popis: Purpose: To demonstrate the ability of widefield en face swept source optical coherence tomography (OCT) imaging to monitor peri-venular fern-like patterns of paracentral acute middle maculopathy (PAMM) associated with retinal arterial occlusions. Observations: The peri-venular fern-like pattern of PAMM was diagnosed on the 12 × 12 mm en face structural OCT images from three patients. Fluorescein angiography images were unremarkable. Over time, all three patients demonstrated significant improvement in visual acuity with resolution of their peri-venular PAMM. Conclusions: The peri-venular fern-like pattern of PAMM is usually associated with retinal vein occlusions, but we identified three cases with this pattern in eyes with presumed incomplete retinal arterial occlusions. Our cases support the ischemic cascade theory that begins within the deep capillary plexus and ascends in the retina depending on the severity of the ischemic event. Using the 12 × 12 mm en face structural OCT images, we are able to demonstrate a wider area of ischemia in PAMM compared with the traditional 6 × 6 mm scans.
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