Acute Posterior Multifocal Placoid Pigment Epitheliopathy

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File number: 28757


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    • By Cláudia Farinha
      CHUC
      Co-author(s): Mário Soares, Ophthalmology Department, Centro Hospitalar e Universitário de Coimbra, Coimbra Portugal
    • Uploaded on Jan 4, 2019.
    • Last modified by Caroline Bozell on Jan 8, 2019.
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    Appears in
    4-Jan-2019
    Condition/keywords
    white dot syndrome, acute posterior multifocal placoid pigment epitheliopathy (APMPPE)
    Photographer
    Pedro Melo, Ophthalmology Department, Centro Hospitalar e Universitário de Coimbra, Coimbra Portugal
    Description
    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.

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