Paracentral Acute Middle Maculopathy Revealing a Giant Aortic Aneurysm

ABSTRACT

Background

This report describes a case with paracentral acute middle maculopathy revealing a giant aortic aneurysm.

Case Description

A 41-year-old man presented with unilaterally unexplained sudden vision loss in the left eye. Fundoscopy revealed a slightly pale r -26etinal reflex in the superior retinal hemifield. SDOCT revealed blurred boundaries between retinal segments and prominent edema in the middle retinal layers. OCTA revealed decreased vascular density in the deep capillary plexus. FA showed low arterial circulation mainly in the superior retinal hemifield. Humphrey VFT revealed an inferior altitudinal defect in the left eye, implying a related circulatory disturbance in the corresponding region.

A thorough systemic work-up, including a cardiovascular etiological investigation, revealed giant aortic aneurysm in the ascending aorta, necessitating emergency surgery.

Conclusion

This report highlights the importance of a systemic etiological investigation in patients with PAMM to rule out any potential cardiovascular issues.

KEYWORDS:

• Aortic aneurysm
• optical coherence tomography angiography
• paracentral acute middle maculopathy
• spectral domain optical coherence tomography
• visual field test

Declaration of interest

The authors report no conflicts of interest. The authors alone are responsible for the content and writing of the paper.

Informed consent

Written informed consent was obtained from the patient for the publication of the case report and the accompanying images.