Paracentral Acute Middle Maculopathy After Sinus Surgery: A Case Report and Literature Review

<b>Purpose:</b> Herein, we describe a case of paracentral acute middle maculopathy occurring after routine sinus surgery. <b>Methods:</b> A single case was evaluated. <b>Results</b>: The patient presented with an inferocentral scotoma in the left eye 2 days after an uneventful sinuplasty procedure performed under local anesthesia. Examination and optical coherence tomography demonstrated paracentral acute middle maculopathy. A complete workup and urgent stroke evaluation revealed no clear underlying etiology. <b>Conclusion</b>: Sinus procedures may rarely be associated with paracentral acute middle maculopathy, possibly due to the vasoconstrictive effects of local anesthetics. Ophthalmologists and head and neck surgeons should be aware of this potential complication.