Paracentral Acute Middle Maculopathy Associated With Migraine With Aura in Pregnancy

Paracentral acute middle maculopathy (PAMM) is a form of ischaemic maculopathy involving infarction of the inner nuclear layer secondary to deep retinal capillary plexus ischaemia. Risk factors include retinal vascular disease and systemic vascular risk factors, which can predispose the eye to ischaemia. Recent reports now show associations with pregnancy and also migraine episodes. We report an interesting case of a young patient developing PAMM following a migraine with an aura episode during an uncomplicated pregnancy.