{"title":"SARS-Cov-2 Associated Paracentral Acute Middle Maculopathy: A Case Report with a Challenging Diagnosis","authors":"Salceanu So","doi":"10.23880/oajo-16000251","DOIUrl":null,"url":null,"abstract":"We present an intricate case of Paracentral acute middle maculopathy (PAMM) as part of the COVID-19 complex clinic presentation. 53 years old patient, pediatric nurse developed symptoms specific to SARS-Cov-2 infection (dry cough, headaches, myalgia’s and fever) which prompted her to get tested. 11 days into the disease, she experienced right eye mild loss of vision and received a short course of steroids for her concomitant pulmonary disease with no subjective improvement on vision. After 2 weeks of self-isolation, she had an ophthalmology examination and was misdiagnosed with optic neuritis. As her visual acuity was 6/6 she was monitored closely with perimetry and OCT. Patient showed reduction of central scotoma with no further treatment. One year later, an Angio-OCT was performed and upon reviewing the initial images, PAMM diagnosis was made.","PeriodicalId":91939,"journal":{"name":"Open access journal of ophthalmology","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Open access journal of ophthalmology","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.23880/oajo-16000251","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
Abstract
We present an intricate case of Paracentral acute middle maculopathy (PAMM) as part of the COVID-19 complex clinic presentation. 53 years old patient, pediatric nurse developed symptoms specific to SARS-Cov-2 infection (dry cough, headaches, myalgia’s and fever) which prompted her to get tested. 11 days into the disease, she experienced right eye mild loss of vision and received a short course of steroids for her concomitant pulmonary disease with no subjective improvement on vision. After 2 weeks of self-isolation, she had an ophthalmology examination and was misdiagnosed with optic neuritis. As her visual acuity was 6/6 she was monitored closely with perimetry and OCT. Patient showed reduction of central scotoma with no further treatment. One year later, an Angio-OCT was performed and upon reviewing the initial images, PAMM diagnosis was made.