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난원공 개존증과 동반된 급성 중간 황반병증

Other Titles
 Paracentral Acute Middle Maculopathy with Patent Foramen Ovale 
Authors
 최은영  ;  강현구  ;  이윤정  ;  이승규 
Citation
 Journal of Retina, Vol.5(1) : 57-60, 2020-05 
Journal Title
 Journal of Retina 
ISSN
 2508-1926 
Issue Date
2020-05
Keywords
Paracentral acute middle maculopathy ; Patent foramen ovale ; Optical coherence tomography angiography
Abstract
Purpose: To report a case of paracentral acute middle maculopathy (PAMM) in an otherwise healthy adult with a patent foramen ovale (PFO). Case summary: A 38-year-old male with no significant medical history presented with acute onset vision loss (20/60) in the right eye. PAMM was diagnosed based on the following findings: hyperreflective band-like lesions at the level of the inner nuclear layer on spectral- domain optical coherence tomography (OCT) and dendritic blacked out areas of hypoperfusion in the intermediate capillary plexus layer on OCT angiography. A systemic workup revealed a large PFO suspicious as a secondary underlying abnormality. After successful closure of the PFO, the pericapillary ischemic signs at the macula were resolved, and the patient’s visual symptoms significantly improved to 20/40. Conclusions: This report verifies the importance of an early cardiac investigation in otherwise healthy individuals with PAMM.
Files in This Item:
T202005146.pdf Download
DOI
10.21561/jor.2020.5.1.57
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Ophthalmology (안과학교실) > 1. Journal Papers
Yonsei Authors
Lee, Christopher Seungkyu(이승규) ORCID logo https://orcid.org/0000-0001-5054-9470
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/180724
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