Evaluation of paracentral acute middle maculopathy with multimodal imaging in a pregnant patient

Abstract

Paracentral acute middle maculopathy is a relatively recently described, self limiting clinical entity which is characterized with changes in the middle retinal layers on optical coherence tomography. Many risk factors have been described such as dehydration, oral contraceptive use, caffeine and vasopressors. Paracentral acute middle maculopathy can accompany many retinal vascular diseases such as diabetic retinopathy, hypertensive retinopathy, Purtscher retinopathy, retinal artery and vein occlusion. Patients generally present with scotoma, however they may be asymptomatic as well. In this paper, paracentral acute middle maculopathy in an otherwise healthy 33-year old pregnant patient in third trimester of pregnancy was described with multimodal imaging including optical coherence tomography, near infrared refl ectance and fundus autofl uorescence. © 2021 Elsevier B.V., All rights reserved.