Paracentral Acute Middle Maculopathy in a Patient with Atrial Myxoma.

PURPOSE: To describe a rare case of paracentral acute middle maculopathy in the postprocedural period of median sternotomy for atrial myxoma.

METHODS

History, systemic and ophthalmic evaluation, optical coherence tomography (OCT), and visual field testing.

RESULTS

A 77-year-old female developed new-onset blurred vision ten days after surgical resection of a left atrial myxoma. Ophthalmic examination and OCT findings were consistent with paracentral acute middle maculopathy (PAMM).

CONCLUSION

PAMM is a rare retinal ischemic condition that may occur following systemic vascular insults. This case highlights a previously undocumented association between left atrial myxoma resection and the development of PAMM.