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与二尖瓣开放修复相关的双侧中心旁急性黄斑病变

Bilateral paracentral acute middle maculopathy associated with open mitral valve repair.

作者信息

Sulahria Humza, Mojumder Ohidul, Gahn Greggory M, Khanani Arshad M

机构信息

Sierra Eye Associates, Reno, NV, United States.

University of Nevada, Reno, United States.

出版信息

Am J Ophthalmol Case Rep. 2025 Feb 18;38:102284. doi: 10.1016/j.ajoc.2025.102284. eCollection 2025 Jun.

DOI:10.1016/j.ajoc.2025.102284
PMID:40115526
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11923751/
Abstract

PURPOSE

To disseminate a case study of Paracentral Acute Middle Maculopathy (PAMM) occurring bilaterally following open mitral valve repair.

OBSERVATIONS

The patient reported to the clinic initially with severe vision loss in both eyes and abnormal findings on retinal imaging indicative of PAMM. After a follow-up of 4 weeks, the patient showed mild improvement in visual acuity. After a follow-up of 16 weeks, the patient showed significant improvement in visual acuity.

CONCLUSIONS AND IMPORTANCE

There is currently no treatment for PAMM. This report provides an important case of PAMM occurring after a surgery that is the first bilateral case of its kind. It is crucial to continue researching this topic to further understand PAMM and its possible causes and indications.

摘要

目的

传播二尖瓣开放修复术后双侧发生的中心旁急性黄斑病变（PAMM）的病例研究。

观察结果

该患者最初到诊所就诊时双眼视力严重丧失，视网膜成像检查发现异常，提示患有PAMM。经过4周的随访，患者视力有轻度改善。经过16周的随访，患者视力有显著改善。

结论与意义

目前尚无针对PAMM的治疗方法。本报告提供了一个重要的PAMM病例，该病例发生在手术后，是首例此类双侧病例。继续研究该主题以进一步了解PAMM及其可能的病因和表现至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b65/11923751/e8e154046708/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b65/11923751/da8fd670235f/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b65/11923751/f7dbb0e49334/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b65/11923751/07e88d42609c/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b65/11923751/1369217966cb/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b65/11923751/163773da9ae9/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b65/11923751/e8e154046708/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b65/11923751/da8fd670235f/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b65/11923751/f7dbb0e49334/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b65/11923751/07e88d42609c/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b65/11923751/1369217966cb/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b65/11923751/163773da9ae9/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b65/11923751/e8e154046708/gr6.jpg

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本文引用的文献

1
Paracentral acute middle maculopathy following coronary angiography.冠状动脉造影术后的中心旁急性黄斑中部病变
Am J Ophthalmol Case Rep. 2022 Aug 13;28:101674. doi: 10.1016/j.ajoc.2022.101674. eCollection 2022 Dec.
2
Coincident PAMM and AMN and Insights Into a Common Pathophysiology.同时发生的 PAMM 和 AMN 及对共同病理生理学的深入了解。
Am J Ophthalmol. 2022 Apr;236:136-146. doi: 10.1016/j.ajo.2021.07.004. Epub 2021 Jul 18.
3
Paracentral acute middle maculopathy in patient with atherosclerosis and angioplasty with stents in the coronary artery.
伴有冠状动脉粥样硬化和支架血管成形术的患者的旁中央急性中黄斑病变。
Einstein (Sao Paulo). 2021 Feb 26;19:eRC5521. doi: 10.31744/einstein_journal/2021RC5521. eCollection 2021.
4
Paracentral acute middle maculopathy-review of the literature.中文译文：旁中心性急性中黄斑病变：文献回顾。
Graefes Arch Clin Exp Ophthalmol. 2020 Dec;258(12):2583-2596. doi: 10.1007/s00417-020-04826-1. Epub 2020 Jul 13.
5
Paracentral Acute Middle Maculopathy.旁中心性急性中黄斑病变。
Turk J Ophthalmol. 2020 Jun 27;50(3):193-196. doi: 10.4274/tjo.galenos.2020.92972.