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Table 1 Summarized clinical and multimodal imaging aspects of patients

From: Multimodal imaging for paracentral acute maculopathy; the diagnostic role of en face OCT

 

Demographic

PAMM Association

Complaint

BCVA

OCT

OCTA

Projection artifact

Enface

Final BCVA

Patient 1

42-year-old man

Cilioretinal artery occlusion (CILRAO)

Paracentral scotoma

20/20

The borders of the lesion revealed a hyper-reflective band involving INL with extension to inner plexiform layer

Superficial and deep capillary drop-out

 + 

Hyper-reflectivity in the distribution of cilioretinal artery

20/20

Patient 2

33-year-old woman

Cilioretinal artery occlusion (CILRAO)

Paracentral scotoma

20/20

Hyper-reflective bands at the INL extended from inner plexiform to outer plexiform layers

Deep capillary drop-out

 + 

The confluent globular hyperreflective area in the territory of the cilioretinal artery

20/20

Patient 3

56-year-old man

Branch retinal artery occlusion (BRAO)

Sudden visual loss

CF 2 m

The hyper-reflective band at the middle layers sparing more superficial layers of the retina except for the CWS region that showed involvement of both superficial and middle retinal layers

Superficial and deep capillary drop-out

 + 

A fern-like whitening as a hyper-reflective area more prominent around the venules around the site of the involved retinal artery

20/400

Patient 4

63-year-old woman

Isolated PAMM

Sudden visual loss and altitudinal field defect

CF 2 m

Hyper-reflective band of the middle retinal layers

Deep capillary drop-out

 + 

Hyper-reflective area, most prominently around venules with relative sparing of arterioles, making a fern-like appearance

CF 2 m

Patient 5

67-year-old woman

Non-ischemic CRVO and CILRAO

Sudden visual loss

CF 1 m

The area of cilioretinal hypoperfusion appeared to be hyper-reflective in both superficial and middle retinal layers while the lower border of the lesion appeared hyper-reflective solely in the middle layer

Superficial and deep capillary drop-out

 + 

Hyper-reflectivity in the distribution of cilioretinal artery, inferotemporal to the fovea, showed perivenular hyper-reflectivity with a fern-like appearance

20/200

  1. PAMM: Paracentral acute middle maculopathy, CRVO: central retinal vein occlusion, BRAO: Branch retinal artery occlusion, CILRAO: Cilioretinal artery occlusion, BCVA: best corrected visual acuity, OCT: Optical coherence tomography, CF: count finger, INL: Inner nuclear layer, CWS: cotton wool spot