![]() C) Distinct en face OCT appearance with a perivenular pattern described as fern-like PAMM. B) Hyper-reflective focal band-like lesions (yellow arrow) in the middle retina (inner nuclear layer, inner plexiform, outer plexiform layers) on spectral-domain optical coherence tomography are consistent with PAMM. Note the deep retinal whitening adjacent the retinal veins temporal to the fovea. In central retinal vein occlusion with paracentral acute middle maculopathy (PAMM), color fundus photography (A) shows retinal venous tortuosity, small-dot retinal hemorrhages and optic nerve hyperemia. Baumal is a consultant to Genentech, Ora, Novartis and EyePoint Pharmaceuticals, and a speaker for Regeneronįigure 1. Baumal is professor of ophthalmology at New England Eye Center, Tufts Medical Center, Boston.ĭISCLOSURES: Dr.
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