OCT Angiography of Paracentral Acute Middle Maculopathy Associated With Central Retinal Artery Occlusion and Deep Capillary Ischemia

Ophthalmic Surg Lasers Imaging Retina. 2015 May;46(5):579-81. doi: 10.3928/23258160-20150521-11.


An 82-year-old man presented with acute, painless vision loss in the left eye associated with headaches, jaw claudication, and scalp tenderness. Clinical examination and fluorescein angiography confirmed the diagnosis of a central retinal artery occlusion of the left eye. Spectral-domain optical coherence tomography (OCT) of the left eye showed paracentral acute middle maculopathy (PAMM), and OCT angiography showed severe attenuation of the deep capillary plexus. This is the first case report of OCT angiography of PAMM associated with central retinal artery occlusion confirming the presence of ischemia of the deep retinal capillary plexus.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Acute Disease
  • Aged, 80 and over
  • Capillaries
  • Fluorescein Angiography*
  • Humans
  • Ischemia / diagnosis*
  • Male
  • Retinal Artery Occlusion / diagnosis*
  • Retinal Artery Occlusion / etiology
  • Retinal Diseases / diagnosis*
  • Retinal Diseases / etiology
  • Retinal Vessels / pathology*
  • Tomography, Optical Coherence*