[Paracentral acute middle maculopathy after transient branch retinal artery occlusion following coronary angiography].

Authors

Farouk Saidi, Hamza Karmane, Mohannad Alwees, Harald Schilling, Markus Kohlhaas

Published in

Die Ophthalmologie. Nov 06, 2026. Epub Nov 06, 2026.

Abstract

A 76-year-old woman noticed reduced vision with a central scotoma in her left eye one week after coronary angiography for angina pectoris. Best-corrected visual acuity in the left eye was 0.5. Optical coherence tomography (OCT) showed a hyperreflective lesion of the inner nuclear layer inferior to the macula, and paracentral acute middle maculopathy (PAMM) was diagnosed. OCT angiography was unremarkable in the acute phase. Fluorescein angiography revealed delayed arterial perfusion inferior to the macula, consistent with a transient branch retinal artery occlusion. Cardiovascular work-up showed carotid stenosis and dyslipidemia; lipid-lowering therapy was intensified. After 3 months, visual acuity in the left eye was 1.0, but a central scotoma persisted. OCT showed atrophy of the inner nuclear and outer plexiform layers, and OCT angiography showed capillary rarefaction of the deep capillary plexus. PAMM is a rare complication of coronary angiography. In patients with a new central scotoma after cardiac catheterization, PAMM should be considered and a comprehensive cardiovascular work-up initiated.

PMID:
42993273
Bibliographic data and abstract were imported from PubMed on 07 Nov 2026.

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