CRVO with Paracentral Acute Middle Maculopathy (PAMM)
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56 year old woman About 1 month ago the vision in the right eye went bad a few times and then got better. Then 1 week ago the vision in the right eye went bad again and has not gotten any better. Left eye is OK. The vision in the right eye is hazy and blurred. She has high blood pressure. She had a carotid ultrasound a week ago which showed some stenosis in the left which will be repeated. She has an echocardiogram scheduled and she has a neurology appointment coming up because of the vision loss last week. She had an episode where she passed out a few times and was recommended to take aspirin. She was told it might be dehydration. She was given a big long name of what was causing it. She has 2 children and had one miscarriage. She has had thyroid cancer.
VA 20/160 OD, 20/32 OS - Blood test showed hyperhomocysteinemia
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CRVO with Paracentral Acute Middle Maculopath - PAMM711 views56 year old woman with sudden vision loss, hemorrhages in all four quadrants. FA shows good retinal circulation. The OCT shows PAMM lesions in the affected eye. Vision did improve on second visit from 20/160 to 20/60 in about a month
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CRVO with Paracentral Acute Middle Maculopath - PAMM488 views56 year old woman with sudden vision loss, hemorrhages in all four quadrants. FA shows good retinal circulation. The OCT shows PAMM lesions in the affected eye. Vision did improve on second visit from 20/160 to 20/60 in about a month
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CRVO with Paracentral Acute Middle Maculopath - PAMM487 views56 year old woman with sudden vision loss, hemorrhages in all four quadrants. FA shows good retinal circulation. The OCT shows PAMM lesions in the affected eye. Vision did improve on second visit from 20/160 to 20/60 in about a month
(0 votes)
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CRVO with Paracentral Acute Middle Maculopath - PAMM398 views56 year old woman with sudden vision loss, hemorrhages in all four quadrants. FA shows good retinal circulation. The OCT shows PAMM lesions in the affected eye. Vision did improve on second visit from 20/160 to 20/60 in about a month
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CRVO with Paracentral Acute Middle Maculopath - PAMM397 views56 year old woman with sudden vision loss, hemorrhages in all four quadrants. FA shows good retinal circulation. The OCT shows PAMM lesions in the affected eye. Vision did improve on second visit from 20/160 to 20/60 in about a month
(0 votes)
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CRVO with Paracentral Acute Middle Maculopath - PAMM459 views56 year old woman with sudden vision loss, hemorrhages in all four quadrants. FA shows good retinal circulation. The OCT shows PAMM lesions in the affected eye. Vision did improve on second visit from 20/160 to 20/60 in about a month
(0 votes)
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CRVO with Paracentral Acute Middle Maculopath - PAMM450 views56 year old woman with sudden vision loss, hemorrhages in all four quadrants. FA shows good retinal circulation. The OCT shows PAMM lesions in the affected eye. Vision did improve on second visit from 20/160 to 20/60 in about a month
(0 votes)
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CRVO with Paracentral Acute Middle Maculopath - PAMM505 views56 year old woman with sudden vision loss, hemorrhages in all four quadrants. FA shows good retinal circulation. The OCT shows PAMM lesions in the affected eye. Vision did improve on second visit from 20/160 to 20/60 in about a month
(0 votes)
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CRVO with Paracentral Acute Middle Maculopath - PAMM474 views56 year old woman with sudden vision loss, hemorrhages in all four quadrants. FA shows good retinal circulation. The OCT shows PAMM lesions in the affected eye. Vision did improve on second visit from 20/160 to 20/60 in about a month
(0 votes)
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CRVO with Paracentral Acute Middle Maculopath - PAMM464 views56 year old woman with sudden vision loss, hemorrhages in all four quadrants. FA shows good retinal circulation. The OCT shows PAMM lesions in the affected eye. Vision did improve on second visit from 20/160 to 20/60 in about a month
(0 votes)
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CRVO with Paracentral Acute Middle Maculopath - PAMM720 views56 year old woman with sudden vision loss, hemorrhages in all four quadrants. FA shows good retinal circulation. The OCT shows PAMM lesions in the affected eye. Vision did improve on second visit from 20/160 to 20/60 in about a month
(0 votes)
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CRVO with Paracentral Acute Middle Maculopath - PAMM531 views56 year old woman with sudden vision loss, hemorrhages in all four quadrants. FA shows good retinal circulation. The OCT shows PAMM lesions in the affected eye. Vision did improve on second visit from 20/160 to 20/60 in about a month
(0 votes)
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CRVO with Paracentral Acute Middle Maculopath - PAMM561 views56 year old woman with sudden vision loss, hemorrhages in all four quadrants. FA shows good retinal circulation. The OCT shows PAMM lesions in the affected eye. Vision did improve on second visit from 20/160 to 20/60 in about a month
(0 votes)
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CRVO with Paracentral Acute Middle Maculopath - PAMM548 views56 year old woman with sudden vision loss, hemorrhages in all four quadrants. FA shows good retinal circulation. The OCT shows PAMM lesions in the affected eye. Vision did improve on second visit from 20/160 to 20/60 in about a month
(0 votes)
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CRVO with Paracentral Acute Middle Maculopath - PAMM506 views56 year old woman with sudden vision loss, hemorrhages in all four quadrants. FA shows good retinal circulation. The OCT shows PAMM lesions in the affected eye. Vision did improve on second visit from 20/160 to 20/60 in about a month
(0 votes)
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CRVO with Paracentral Acute Middle Maculopath - PAMM596 views56 year old woman with sudden vision loss, hemorrhages in all four quadrants. FA shows good retinal circulation. The OCT shows PAMM lesions in the affected eye. Vision did improve on second visit from 20/160 to 20/60 in about a month
(0 votes)
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CRVO with Paracentral Acute Middle Maculopath - PAMM478 views56 year old woman with sudden vision loss, hemorrhages in all four quadrants. FA shows good retinal circulation. The OCT shows PAMM lesions in the affected eye. Vision did improve on second visit from 20/160 to 20/60 in about a month
(0 votes)
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CRVO with Paracentral Acute Middle Maculopath - PAMM469 views56 year old woman with sudden vision loss, hemorrhages in all four quadrants. FA shows good retinal circulation. The OCT shows PAMM lesions in the affected eye. Vision did improve on second visit from 20/160 to 20/60 in about a month
(0 votes)
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CRVO with Paracentral Acute Middle Maculopath - PAMM519 views56 year old woman with sudden vision loss, hemorrhages in all four quadrants. FA shows good retinal circulation. The OCT shows PAMM lesions in the affected eye. Vision did improve on second visit from 20/160 to 20/60 in about a month
(0 votes)
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CRVO with Paracentral Acute Middle Maculopath - PAMM449 views56 year old woman with sudden vision loss, hemorrhages in all four quadrants. FA shows good retinal circulation. The OCT shows PAMM lesions in the affected eye. Vision did improve on second visit from 20/160 to 20/60 in about a month
(0 votes)
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CRVO with Paracentral Acute Middle Maculopath - PAMM448 views56 year old woman with sudden vision loss, hemorrhages in all four quadrants. FA shows good retinal circulation. The OCT shows PAMM lesions in the affected eye. Vision did improve on second visit from 20/160 to 20/60 in about a month
(0 votes)
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CRVO with Paracentral Acute Middle Maculopath - PAMM432 views56 year old woman with sudden vision loss, hemorrhages in all four quadrants. FA shows good retinal circulation. The OCT shows PAMM lesions in the affected eye. Vision did improve on second visit from 20/160 to 20/60 in about a month
(0 votes)
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CRVO with Paracentral Acute Middle Maculopath - PAMM489 views56 year old woman with sudden vision loss, hemorrhages in all four quadrants. FA shows good retinal circulation. The OCT shows PAMM lesions in the affected eye. Vision did improve on second visit from 20/160 to 20/60 in about a month
(0 votes)
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CRVO with Paracentral Acute Middle Maculopath - PAMM425 views56 year old woman with sudden vision loss, hemorrhages in all four quadrants. FA shows good retinal circulation. The OCT shows PAMM lesions in the affected eye. Vision did improve on second visit from 20/160 to 20/60 in about a month
(0 votes)
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CRVO with Paracentral Acute Middle Maculopath - PAMM550 views56 year old woman with sudden vision loss, hemorrhages in all four quadrants. FA shows good retinal circulation. The OCT shows PAMM lesions in the affected eye. Vision did improve on second visit from 20/160 to 20/60 in about a month
(0 votes)
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CRVO with Paracentral Acute Middle Maculopath - PAMM555 views56 year old woman with sudden vision loss, hemorrhages in all four quadrants. FA shows good retinal circulation. The OCT shows PAMM lesions in the affected eye. Vision did improve on second visit from 20/160 to 20/60 in about a month
(0 votes)
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CRVO with Paracentral Acute Middle Maculopath - PAMM530 views56 year old woman with sudden vision loss, hemorrhages in all four quadrants. FA shows good retinal circulation. The OCT shows PAMM lesions in the affected eye. Vision did improve on second visit from 20/160 to 20/60 in about a month
(0 votes)
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CRVO with Paracentral Acute Middle Maculopath - PAMM532 views56 year old woman with sudden vision loss, hemorrhages in all four quadrants. FA shows good retinal circulation. The OCT shows PAMM lesions in the affected eye. Vision did improve on second visit from 20/160 to 20/60 in about a month
(0 votes)
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CRVO with Paracentral Acute Middle Maculopath - PAMM642 views56 year old woman with sudden vision loss, hemorrhages in all four quadrants. FA shows good retinal circulation. The OCT shows PAMM lesions in the affected eye. Vision did improve on second visit from 20/160 to 20/60 in about a month
(0 votes)
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56 year old woman About 1 month ago the vision in the right eye went bad a few times and then got better. Then 1 week ago the vision in the right eye went bad again and has not gotten any better. Left eye is OK. The vision in the right eye is hazy and blurred. She has high blood pressure. She had a carotid ultrasound a week ago which showed some stenosis in the left which will be repeated. She has an echocardiogram scheduled and she has a neurology appointment coming up because of the vision loss last week. She had an episode where she passed out a few times and was recommended to take aspirin. She was told it might be dehydration. She was given a big long name of what was causing it. She has 2 children and had one miscarriage. She has had thyroid cancer.
VA 20/160 OD, 20/32 OS - Blood test showed hyperhomocysteinemia
