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

 

 

  1. 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.