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A review of acute posterior multifocal placoid epitheliopathy
Author(s) -
PEREZ NAVARRO I,
ALMENARA MICHELENA C,
CARAMELLO C,
HERRERA L,
PEREZ GARCIA D,
MARTINEZ M,
ESTEBAN O
Publication year - 2014
Publication title -
acta ophthalmologica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.534
H-Index - 87
eISSN - 1755-3768
pISSN - 1755-375X
DOI - 10.1111/j.1755-3768.2014.f088.x
Subject(s) - medicine , fluorescein angiography , visual acuity , retinal pigment epithelium , ophthalmology , posterior pole , indocyanine green , fundus (uterus) , surgery , retinal
Purpose Acute posterior multifocal placoid pigment epitheliopathy (APMPPE) is a rare inflammatory disease, generally of unknown a etiology, affecting the choriocapillaris, the pigment epithelium and the outer retina. It predominantly affects young patients. Methods Our patient was a 14‐year‐old female presented with rapid bilateral loss of vision She reported lu‐like symptoms and taking antibiotics therapy. Fundoscopy revealed yellow‐white subretinal lesions in the posterior pole with foveolar affectation of both eyes. Fluorescein angiography in acute stage of the disease demonstrated early hypofluorescence followed by later hyperfluorescence of the lesions. Indocyanine green angiography demonstrated hypofluorescence in all stages of the angiogram. Results After a period of 7 days oral prednisone treatment she was completely recovered Conclusion Acute posterior multifocal placoid pigment epitheliopathy (APMPPE) is characterized by rapid, but transient loss of visual acuity. Diagnosis is established in fluorescein angiography and prognosis for recovery is good, however in cases with poor visual acuity glicocorticosteroids might be beneficial. Usage of steroids is recommended for treating APMPPE in cases where macula is involved and in recurrent cases