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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: 



Retina 12-1.png
Retina 12-2.png

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

Question: What is the diagnosis?

Retina 12-2.png

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.

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