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 - PAMM670 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 - 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
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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
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CRVO with Paracentral Acute Middle Maculopath - PAMM389 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 - PAMM391 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 - PAMM444 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
(0 votes)
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CRVO with Paracentral Acute Middle Maculopath - PAMM465 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 - PAMM447 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 - PAMM440 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 - PAMM695 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 - 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 - PAMM511 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 - PAMM566 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 - PAMM455 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 - PAMM446 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 - PAMM423 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 - PAMM427 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 - 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 - PAMM479 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 - PAMM410 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 - PAMM513 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 - PAMM511 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
(0 votes)
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CRVO with Paracentral Acute Middle Maculopath - PAMM604 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
