Cláudia Farinha » 4-Jan-2019

Jan 4 2019 by Cláudia Farinha

Composite image of both eyes of a 27-year-old male with APMPPE. In the fundus photograph, multiple yellowish placoid lesions are observed in the posterior pole in both eyes. The ICGA revealed more lesions than those observed in fundoscopy, and these were hypofluorescent through the angiogram as expected. The en face OCTA segmented at the level of the choriocapillaris revealed areas of ischemia in close correspondence with the hypofluorescent lesions (image superimposed in ICGA ). The OCT b-scan with superimposed flow shows disruption and hyperreflectivity of the external retinal layers in the affected areas and again the absence of flow in the choriocapillaris underneath. A systemic study was carried out to exclude other inflammatory and infectious causes of placoid retinochoroidopathy. The clinical picture resolved after approximately one month from the onset, without recurrence.

Photographer: Pedro Melo, Ophthalmology Department, Centro Hospitalar e Universitário de Coimbra, Coimbra Portugal

Condition/keywords: acute posterior multifocal placoid pigment epitheliopathy (APMPPE), white dot syndrome