Case Report
 
Optical coherence tomography angiography features of paracentral acute middle maculopathy in a young female in sub-Saharan Africa: A case report
Olufemi Oladimeji Oderinlo1, Adekunle Olubola Hassan1, Ogugua Ndubuisi Okonkwo1
1Eye Foundation Hospital, 27 Isaac John Street, GRA Ikeja, Lagos, Nigeria

Article ID: 100002Z17OO2018
doi: :10.5348/100002Z17OO2018CR

Corresponding Author:
Dr. Olufemi Oladimeji Oderinlo
Eye Foundation Hospital
27 Isaac John Street
GRA Ikeja, Lagos, Nigeria

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How to cite this article
Oderinlo OO, Hassan AO, Okonkwo ON. Optical coherence tomography angiography features of paracentral acute middle maculopathy in a young female in sub-Saharan Africa: A case report. J Case Rep Images Opthalmol 2018;1:100002Z17OO2018.


ABSTRACT

To report the Optical Coherence Tomography Angiography features of a 33-year-old female presenting with visual loss secondary to a paracentral acute middle maculopathy. A case report of clinical examination findings, Fundus fluorescein angiography and Angiovue optical coherence tomography angiography (OCTA) findings of a paracentral acute middle maculopathy. The Angiovue optical coherence tomography angiography (OCTA) software of the RTVue XR Avanti (Optovue, Inc., Fremont, CA) was used for imaging. Enface OCTA images demonstrate a hypereflective plaque extending from the supero temporal area of the optic disc to the perifovealarea . The 3.0 x 3.0 mm en-face OCTA retina thickness map showed retinal thickening from oedema and corresponds to the area of the hypereflective plaque with disruption of the deep retina and choroidal vascular plexi, the superficial retina plexus appeared spared. The FFA also shows adequate capillary perfusion in the area of retina whitening, with a prepapillary vascular loop. Improvement in retina capillary structure and flow is seen after four weeks.

Keywords: Hyper reflective intraretina plaque, Optical coherence tomography angiography, Paracentral acute middle maculopathy, Retina superficial vascular plexus, Retina deep vascular plexus


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Author Contributions
Olufemi Oladimeji Oderinlo – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Adekunle Olubola Hassan – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Ogugua Ndubuisi Okonkwo – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of Submission
The corresponding author is the guarantor of submission.
Source of Support
None
Consent Statement
Written informed consent was obtained from the patient for publication of this case report.
Conflict of Interest
Author declares no conflict of interest.
Copyright
© 2018 Olufemi Oladimeji Oderinlo et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.