Treatment/Management
- There is no effective treatment to reverse the ischemia
- Case reports of reversal of PAMM after initiating anti-platelet therapy1
- Risk factors should be questioned
- Due to PAMM lesions being an ischemic event and reports of impending RAO, patients should have a stroke work up performed urgently including:
- MRI
- MRA/CTA
- Carotid Doppler
- ECG/EKG
- Lab work: hypercoagulable, inflammatory
- Zhao PY, Johnson MW, McDonald HR, Sarraf D. Paracentral Acute Middle Maculopathy and the ischemic Cascade: toward Interventional Management. Am J Ophthalmol. 2022 Feb;234:15–9.