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 - PAMM748 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 - PAMM522 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 - PAMM540 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 - PAMM431 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 - 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 - PAMM492 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 - PAMM482 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 - PAMM545 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 - PAMM521 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 - PAMM763 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 - PAMM568 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 - PAMM608 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 - PAMM591 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 - PAMM547 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 - PAMM644 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 - PAMM516 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 - PAMM503 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 - PAMM559 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 - PAMM512 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 - PAMM472 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 - PAMM514 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 - PAMM587 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 - PAMM600 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 - PAMM571 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 - PAMM581 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 - PAMM688 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
