Vascular Alterations in the Choroid of Eyes Affected by Acute Macular Neuroretinopathy and Paracentral Acute Middle Maculopathy: Fresh Perspectives - Takeaways - MDSpire
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Vascular Alterations in the Choroid of Eyes Affected by Acute Macular Neuroretinopathy and Paracentral Acute Middle Maculopathy: Fresh Perspectives

  • By

  • Nicola Valsecchi

  • Matteo Elifani

  • Chiara Veronese

  • Emilia Maggio

  • Antonio Moramarco

  • Mohammed Abdul Rasheed

  • Grazia Pertile

  • Kiran Kumar Vupparaboina

  • Jay Chhablani

  • Luigi Fontana

  • Maurizio Mete

  • February 11, 2026

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  • 1

    Acute macular neuroretinopathy (AMN) is a rare condition characterized by acute photopsia, paracentral scotoma, and reduced visual acuity.

  • 2

    Paracentral acute middle maculopathy (PAMM) is distinguished from AMN by hyperreflectivity of the inner nuclear layer on OCT imaging.

  • 3

    Recent studies suggest that choroidal hypoperfusion may be the primary mechanism underlying AMN, challenging previous beliefs about deep capillary plexus involvement.

  • 4

    The study aimed to quantify choroidal thickness and vascularity index in AMN and compare findings with PAMM to refine the distinction between these conditions.

  • 5

    A retrospective, multicentric study included patients diagnosed with AMN and PAMM, adhering to ethical guidelines and obtaining informed consent.

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