Open AccessAcute exudative polymorphous vitelliform maculopathy: To bolus or not to bolus?
Author(s) -
Pier Luigi Grenga,
Serena Fragiotta,
Alessandro Cutini,
Enzo Maria Vingolo
Publication year - 2018
Publication title -
oman journal of ophthalmology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.306
H-Index - 16
eISSN - 0974-7842
pISSN - 0974-620X
DOI - 10.4103/ojo.ojo_12_2017
Subject(s) - maculopathy , medicine , methylprednisolone , bolus (digestion) , visual acuity , ophthalmology , anesthesia , surgery , retinopathy , diabetes mellitus , endocrinology
Acute exudative polymorphous vitelliform maculopathy (AEPVM) is a rare bilateral maculopathy characterized by chronic and long-term course. We report a case of AEPVM with an unusual presentation and management in a middle-aged man. He presented with clinical features of bilateral AEPVM accompanied by multiple intraretinal cysts, with a sudden increase of intraretinal fluid and visual function deterioration over a span of few days. Therefore, we administered empirically an intravenous bolus injection of methylprednisolone. One week after, there was a full recovery of visual acuity and cystic intraretinal spaces completely disappeared.