Management of Acute Posterior Multifocal Placoid Pigment Epitheliopathy (APMPPE): Insights from Multimodal Imaging with OCTA
A 28-year-old man presented to the emergency room with blurred vision in the right eye for two days. He reported a preceding flu-like illness one week earlier. His best-corrected visual acuity (BCVA) was 20/40 in the right eye and 20/25 in the left eye. There was no anterior chamber inflammation or...
Saved in:
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2020-01-01
|
| Series: | Case Reports in Ophthalmological Medicine |
| Online Access: | http://dx.doi.org/10.1155/2020/7049168 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832547088772104192 |
|---|---|
| author | Mariana A. Oliveira Jorge Simão Amélia Martins Cláudia Farinha |
| author_facet | Mariana A. Oliveira Jorge Simão Amélia Martins Cláudia Farinha |
| author_sort | Mariana A. Oliveira |
| collection | DOAJ |
| description | A 28-year-old man presented to the emergency room with blurred vision in the right eye for two days. He reported a preceding flu-like illness one week earlier. His best-corrected visual acuity (BCVA) was 20/40 in the right eye and 20/25 in the left eye. There was no anterior chamber inflammation or vitritis in either eye. He presented multiple yellowish-white placoid lesions in the posterior pole, some involving the foveal area, bilaterally. General examination and systemic investigation were unremarkable. Multimodal evaluation with fluorescein angiography, indocyanine green angiography, and spectral domain and optical coherence tomography angiography (OCTA) were consistent with the diagnosis of acute posterior multifocal placoid pigment epitheliopathy. Due to centromacular involvement with decreased BCVA, treatment with oral methylprednisolone was started after infectious causes were ruled out. After two weeks, the patient presented functional and anatomical improvement. OCTA showed partial reperfusion of the choriocapillaris in the affected areas, in both eyes. |
| format | Article |
| id | doaj-art-7c9791578f004253997334e29b03be79 |
| institution | Kabale University |
| issn | 2090-6722 2090-6730 |
| language | English |
| publishDate | 2020-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Ophthalmological Medicine |
| spelling | doaj-art-7c9791578f004253997334e29b03be792025-02-03T06:46:00ZengWileyCase Reports in Ophthalmological Medicine2090-67222090-67302020-01-01202010.1155/2020/70491687049168Management of Acute Posterior Multifocal Placoid Pigment Epitheliopathy (APMPPE): Insights from Multimodal Imaging with OCTAMariana A. Oliveira0Jorge Simão1Amélia Martins2Cláudia Farinha3Department of Ophthalmology, Centro Hospitalar e Universitário de Coimbra (CHUC), Coimbra, PortugalDepartment of Ophthalmology, Centro Hospitalar e Universitário de Coimbra (CHUC), Coimbra, PortugalDepartment of Ophthalmology, Centro Hospitalar e Universitário de Coimbra (CHUC), Coimbra, PortugalDepartment of Ophthalmology, Centro Hospitalar e Universitário de Coimbra (CHUC), Coimbra, PortugalA 28-year-old man presented to the emergency room with blurred vision in the right eye for two days. He reported a preceding flu-like illness one week earlier. His best-corrected visual acuity (BCVA) was 20/40 in the right eye and 20/25 in the left eye. There was no anterior chamber inflammation or vitritis in either eye. He presented multiple yellowish-white placoid lesions in the posterior pole, some involving the foveal area, bilaterally. General examination and systemic investigation were unremarkable. Multimodal evaluation with fluorescein angiography, indocyanine green angiography, and spectral domain and optical coherence tomography angiography (OCTA) were consistent with the diagnosis of acute posterior multifocal placoid pigment epitheliopathy. Due to centromacular involvement with decreased BCVA, treatment with oral methylprednisolone was started after infectious causes were ruled out. After two weeks, the patient presented functional and anatomical improvement. OCTA showed partial reperfusion of the choriocapillaris in the affected areas, in both eyes.http://dx.doi.org/10.1155/2020/7049168 |
| spellingShingle | Mariana A. Oliveira Jorge Simão Amélia Martins Cláudia Farinha Management of Acute Posterior Multifocal Placoid Pigment Epitheliopathy (APMPPE): Insights from Multimodal Imaging with OCTA Case Reports in Ophthalmological Medicine |
| title | Management of Acute Posterior Multifocal Placoid Pigment Epitheliopathy (APMPPE): Insights from Multimodal Imaging with OCTA |
| title_full | Management of Acute Posterior Multifocal Placoid Pigment Epitheliopathy (APMPPE): Insights from Multimodal Imaging with OCTA |
| title_fullStr | Management of Acute Posterior Multifocal Placoid Pigment Epitheliopathy (APMPPE): Insights from Multimodal Imaging with OCTA |
| title_full_unstemmed | Management of Acute Posterior Multifocal Placoid Pigment Epitheliopathy (APMPPE): Insights from Multimodal Imaging with OCTA |
| title_short | Management of Acute Posterior Multifocal Placoid Pigment Epitheliopathy (APMPPE): Insights from Multimodal Imaging with OCTA |
| title_sort | management of acute posterior multifocal placoid pigment epitheliopathy apmppe insights from multimodal imaging with octa |
| url | http://dx.doi.org/10.1155/2020/7049168 |
| work_keys_str_mv | AT marianaaoliveira managementofacuteposteriormultifocalplacoidpigmentepitheliopathyapmppeinsightsfrommultimodalimagingwithocta AT jorgesimao managementofacuteposteriormultifocalplacoidpigmentepitheliopathyapmppeinsightsfrommultimodalimagingwithocta AT ameliamartins managementofacuteposteriormultifocalplacoidpigmentepitheliopathyapmppeinsightsfrommultimodalimagingwithocta AT claudiafarinha managementofacuteposteriormultifocalplacoidpigmentepitheliopathyapmppeinsightsfrommultimodalimagingwithocta |