DOI: 10.1177/11206721231217129 ISSN: 1120-6721

Branch retinal artery occlusion with paracentral acute middle maculopathy related to a COVID-19 infection in a patient with Anosmia

Nadyr A Damasceno, Patricia Miranda, Felipe Bekman, Nicholas A Yannuzzi, Luiz H Lima, Michel E Farah, Harry Flynn, Eduardo F Damasceno
  • Ophthalmology
  • General Medicine


To report a case of paracentral acute middle maculopathy (PAMM) due to branch retinal artery occlusion (BRAO) as a complication of COVID-19.


A case report evaluated through spectral-domain optical coherence tomography (SD-OCT), fluorescein angiography, and OCT angiography.


A 55-year-old man complained of blurred vision in the right eye. He presented with anosmia and tested positive for COVID-19 one week before. Fundus examination revealed a superior temporal whitening of the retina, SD-OCT showed a hyperreflective band-like lesion on the nuclear layer consistent with PAMM.


COVID-19 infection involves inflammatory and thrombotic events. Even patients with just anosmia may have complications such as BRAO associated with PAMM.

More from our Archive