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 - PAMM725 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 - 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 - PAMM510 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 - PAMM409 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 - PAMM419 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 - PAMM468 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 - PAMM458 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 - PAMM520 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 - PAMM730 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 - 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 - 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 - 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 - PAMM625 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 - PAMM486 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 - PAMM536 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 - PAMM480 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 - PAMM452 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 - PAMM497 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 - PAMM575 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 - 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 - 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
