Paracentral acute middle maculopathy following hepatitis B vaccine

Verena R Juncal; Aditya Bansal; Hesham Hamli; Rajeev H Muni

doi:10.1016/j.ajoc.2022.101422

Paracentral acute middle maculopathy following hepatitis B vaccine

Am J Ophthalmol Case Rep. 2022 Feb 11:25:101422. doi: 10.1016/j.ajoc.2022.101422. eCollection 2022 Mar.

Authors

Verena R Juncal^{1

2}, Aditya Bansal^{1

2}, Hesham Hamli^{1

2}, Rajeev H Muni^{1

2

3

4}

Affiliations

¹ Department of Ophthalmology, St. Michael's Hospital / Unity Health, Toronto, Canada.
² Department of Ophthalmology and Vision Sciences, University of Toronto, Canada.
³ Department of Ophthalmology and Vision Sciences, The Hospital for Sick Children, Toronto, Canada.
⁴ Department of Ophthalmology, Kensington Vision and Research Centre, Toronto, Canada.

Abstract

Purpose: To report a case of paracentral acute middle maculopathy (PAMM) following Hepatitis B vaccine in a child.

Observations: A 12-year-old healthy female presented with a paracentral scotoma in the right eye due to PAMM, likely associated with a recent Hepatitis B vaccine.

Conclusions: Despite the great importance of vaccines, it is critical to promptly recognize their rare ocular complications, such as the vaccine associated PAMM described in this report.

Keywords: Hepatitis B vaccine; INL, Inner Nuclear Layer; OCT, Optical Coherence Tomography; PAMM, Paracentral Acute Middle Maculopathy; Paracentral acute middle maculopathy; Retinal vascular occlusion.

Publication types

Case Reports