Sohail Ahmad Siddiqui, Shaukat Mehmood, Wasif M Kadri.
Acute Multifocal Placoid Pigment Epitheliopathy.
Pak J Ophthalmol Jan ;14(2):77-80.

We report an eighteen-year-old young male who presented with clinical and angiographic findings consistent with acute multifocal placoid pigment epitheliopathy in addition to anterior uveitis.

An eighteen-year-old young male was referred to the Department of Ophthalmology, Unit-I at the Services Hospital, Lahore, from the District Hospital, Sahiwal. He presented with rapid, painless deterioration of vision in both eyes during the previous two weeks. The visual loss was associated with prodromal flulike symptoms. Past history regarding any ocular or systemic illness was insignificant. At the time of presentation, the patient was on oral steroids (Tab Decadron 10 mg per day) in addition to a multivitamin tablet. His corrected visual acuity was 6/60 and 6/18 in the right and the left eyes, respectively. Intraocular Acute posterior multifocal placoid pigment pressure was 14mm of Hg in each eye. Slit-lamp epitheliopathy examination revealed multiple creamy or yellow-white inflammatory disorder of young, otherwise healthy, placoid lesions scattered over the posterior pole at the level of the pigment epithelium. The lesions were well-circumscribed and discrete, except for a few represents primary pigment epithelial disorder or a confluent patches. Macular involvement was more on the right than on the left side. Rest of the retina appeared normal. Fluorescein angiography demonstrated hypofluorescent areas corresponding to the patterns of acute lesions in the early frames of the self-limiting angiogram. In the later frames, the lesions showed hyperfluorescence.

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