Acute exudative polymorphous vitelliform maculopathy: To bolus or not to bolus? | Zendy

Serena Fragiotta | Zendy; P. Grenga | Zendy; Alessandro Cutini | Zendy; Enzo Maria Vingolo | Zendy

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Acute exudative polymorphous vitelliform maculopathy: To bolus or not to bolus?

Author(s) -

Serena Fragiotta,

P. Grenga,

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.

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