Paracentral acute middle maculopathy associated with branch retinal artery occlusion due to polycythemia in a patient with tetralogy of fallot

Purpose:

To describe the occurrence of paracentral acute middle maculopathy (PAMM) associated with branch retinal artery occlusion secondary to polycythemia in a patient with tetralogy of Fallot.

Methods:

Case report.

Results:

A 30-year-old man presented with acute vision loss and superior visual deficit in his left eye for two days. His medical record had a tetralogy of Fallot. Complete blood count showed an erythrocyte count of 9.88 million/µL (4.4–5.6), hemoglobin of 17.7 g/dL (13.5–16.9), and hematocrit of 65.4% (40–49). The best-corrected visual acuity was 20/25 in the left eye, and a diagnosis of left inferotemporal branch retinal artery occlusion was made. Spectral-domain optical coherence tomography revealed a characteristic hyperreflective band-like lesion on the inner nuclear layer consistent with PAMM.

Conlusion:

Polycythemia may be a trigger for branch retinal artery occlusion–associated PAMM. We suggest a new precursor cause of PAMM that is previously undescribed.

Source: Retinal Cases and Brief Reports - August 25, 2022 Category: Opthalmology Tags: Case Report Source Type: research