A Case of Juxtafoveal Microaneurysm in a Setting of PAMM: Diagnostic and Therapeutic Challenges.

PURPOSE: We are aimed at reporting a rare case of juxtafoveal microaneurysm in a young adult in the setting of paracentral acute middle maculopathy (PAMM) and discussing potential underlying mechanisms and therapeutic considerations.

METHODS

This study describes a single case report and a treatment trial with nitroglycerin.

RESULTS

We present a case of a 38-year-old male with recurrent migraines and juxtafoveal microaneurysm who was empirically treated with 0.4-mg nitroglycerin, resulting in subjective visual improvement and resolution of the lesion on SD-OCT.

CONCLUSIONS

This report highlights the potential role of nitroglycerin as a therapeutic option for recurrent PAMM, emphasizing the need for further investigation into its efficacy and safety.