Multimodal Imaging of PAMM

 

OCTA en face imaging reveals hypo-reflective lesions in the areas of PAMM (E). Intermediate/deep retinal capillary dropout may also be seen (G1-3). Occasionally, there will be spontaneous refilling with no dropout visualized.

 

  • OCTA: intermediate/deep retinal capillary dropout. Occasionally, there will be spontaneous refilling with no dropout visualized.
  • FA: may be unremarkable without evidence of occlusion (delayed filling). May be helpful to rule out occlusion.

Source: Chu S, Nesper PL, Soetikno BT, et al. Projection-resolved OCT angiography of microvascular changes in paracentral acute middle maculopathy and acute macular neuroretinopathy. Invest Ophthalmol Vis Sci. 2018;59:2913-2922.