Retina

​

Case 12

Patient Presentation: A 78-year-old male presented to clinic with a one month history of a persistent central scotoma in his left eye after uneventful cataract surgery. Vision was 20/30 OD and 20/25 OS. Pupils were equal and reactive, with no relative afferent pupillary defect. His medications included Clopidegrol, Xalerto, Bisoprolol, and Rosuvastatin. The fundus photograph of the left eye is shown below: 

​

​

​

​

​

​

​

​

​

​

​

Question: OS OCT Macula is shown on the left. What layer is abnormal?

Question: What is the diagnosis?

Question: What ocular condition can be associated with the development of this OCT finding?

Learning Objectives:

​

1. Recognize PAMM on OCT, which is characterized by a hyper-reflective band that affects the inner nuclear layer.

​

​