Branch Retinal Artery Occlusion with Paracentral Acute Middle Maculopathy in The Pediatric Age Group: A Case Report and Literature Review

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dc.contributor.authorAltındal, Emin Utku
dc.contributor.authorÖktem, Ça?lar
dc.contributor.authorBulut, Muhammet
dc.date.accessioned2026-01-24T12:20:46Z
dc.date.available2026-01-24T12:20:46Z
dc.date.issued2022
dc.departmentAlanya Alaaddin Keykubat Üniversitesi
dc.description.abstractRetinal artery occlusion is usually seen acutely in elderly individuals with systemical disease and results in severe vision loss. It is rare in the pediatric age group. In this case report, we aimed to present a 15-year-old female child diagnosed with left inferior hemiretinal artery occlusion with paracentral acute middle maculopathy (PAMM) secondary to cardiac embolism due to mitral valve disease. A 15-year-old female child presented with sudden and painless vision loss in the left eye. Visual acuity was 1,0 in the right eye and 0.8 in the left eye from the inferior half of the visual field. Anterior segment examination was normal. The fundus examination of the left eye revealed retinal whitening in the superior temporal and superior nasal of the the optic disc, the superior part of macula, the inferior half of macula and the inferior half of the retina, and segmentation in the blood column in the inferior branches of the retinal artery was observed, while the right eye was normal. On optical coherence tomography (OCT), diffuse thickening and hyperreflectivity in the superficial layers and shadowing in the outer layers of the retina were observed in the inferior macula and retina in the left eye. In the superior part of the macula, OCT revealed a characteristic hyperreflective band-like lesion on the inner nuclear layer consistent with PAMM. The patient was diagnosed with left inferior hemiretinal artery occlusion and her treatment was planned. The systemical examination of the patient revealed mitral valve stenosis and insufficiency. When retinal artery occlusion is seen in the pediatric age group, a comprehensive etiological investigation is required. PAMM may be associated with BRAO due to mitral valve disease in a pediatric case. © 2022, Ret Vit. All Right Reserved.
dc.identifier.doi10.37845/ret.vit.2022.31.33
dc.identifier.endpage192
dc.identifier.issn1300-1256
dc.identifier.issue2
dc.identifier.scopus2-s2.0-105019227369
dc.identifier.scopusqualityQ4
dc.identifier.startpage187
dc.identifier.trdizinid1122643
dc.identifier.urihttps://doi.org/10.37845/ret.vit.2022.31.33
dc.identifier.urihttps://search.trdizin.gov.tr/tr/yayin/detay/1122643
dc.identifier.urihttps://hdl.handle.net/20.500.12868/4570
dc.identifier.volume31
dc.indekslendigikaynakScopus
dc.indekslendigikaynakTR-Dizin
dc.language.isoen
dc.publisherGazi Eye Foundation
dc.relation.ispartofRetina-Vitreus
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.snmzKA_Scopus_20260121
dc.subjectbranch retinal artery occlusion
dc.subjectmitral valve disease
dc.subjectparacentral acute middle maculopathy
dc.subjectpediatric age group
dc.titleBranch Retinal Artery Occlusion with Paracentral Acute Middle Maculopathy in The Pediatric Age Group: A Case Report and Literature Review
dc.typeArticle

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