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 - PAMM721 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 - PAMM502 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 - 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 - PAMM408 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 - PAMM418 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 - PAMM467 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 - PAMM457 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 - PAMM518 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 - PAMM476 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 - PAMM727 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 - PAMM543 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 - PAMM586 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 - PAMM565 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 - PAMM515 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 - PAMM623 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 - PAMM496 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 - PAMM485 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 - PAMM534 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 - PAMM476 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 - PAMM462 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 - PAMM496 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 - PAMM428 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 - PAMM560 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 - PAMM573 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 - PAMM557 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 - PAMM653 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
