Paracentral Acute Middle Maculopathy After Cardiac Arrest
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A 33-year-old man suffered a cardiac arrest from ventricular fibrillation complicated by prolonged hypoxia and subsequent ischemia to his brain and liver. After regaining consciousness, he noted blurred vision in his left eye. A diagnosis of paracentral acute middle maculopathy (PAMM) was made. Initially described as a hyperreflective band-like lesion at the level of the inner nuclear layer (Fig 1, dashed arrows), corresponding to intraretinal whitening visible on fundoscopy (solid arrows), lesions in PAMM are the result of ischemia to the deep and intermediate capillary plexi that supply the outer levels of the inner retina.

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