Case Reports in Ophthalmology (Jan 2023)

Late PAMM-Like Lesions in a Patient with HIV Retinopathy

  • Menelaos Kanakis,
  • Ilias Georgalas,
  • Vassilios Kozobolis,
  • Alexandra Lekkou,
  • Efthymios Karmiris,
  • Panagiotis Stavrakas

DOI
https://doi.org/10.1159/000528408
Journal volume & issue
Vol. 14, no. 1
pp. 23 – 28

Abstract

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This report describes a case of a newly diagnosed 49-year-old HIV patient, who presented with decreased visual acuity and retinal lesions characterized by ischemia at the level of the deep retinal capillary plexus, documented with optical coherence tomography (OCT), OCT angiography, fluorescein angiography, and visual fields testing. These lesions closely resembled the morphologic and clinical characteristics of late paracentral acute middle maculopathy. The presence of these lesions suggests that HIV microangiopathy can potentially affect both superficial and deep retinal capillary plexuses.

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