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Klin Monbl Augenheilkd
DOI: 10.1055/a-2786-1748
Der interessante Fall

Starry Nights and Fading Vision: PAMM Through the Eyes of a Patient

Sternenklare Nächte und nachlassendes Sehvermögen: PAMM aus Patientensicht

Authors

  • Arnas Urbonavicius

    1   Ophthalmology, Pallas Kliniken AG, Olten, Switzerland

  • Andreas Weinberger

    1   Ophthalmology, Pallas Kliniken AG, Olten, Switzerland
    2   Department of Ophthalmology, RWTH Aachen University, Aachen, Germany
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Introduction

Paracentral acute middle maculopathy (PAMM) is characterized by ischemia within the middle retinal layers, typically associated with paracentral scotomas and variable visual outcomes. This case highlights an atypically severe, progressive form of PAMM in an elderly patient with vascular risk factors and a possible infectious trigger. The patientʼs vivid description of visual phenomena, coupled with evolving multimodal imaging findings, provided unique diagnostic and clinical insights into the dynamic course of PAMM and its potential transformation into central retinal vein occlusion (CRVO).



Publication History

Received: 05 January 2026

Accepted: 12 January 2026

Article published online:
23 February 2026

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