J Korean Ophthalmol Soc.  1987 Jun;28(3):697-701.

A Case of Acute Posterior Multifocal Placoid Pigment Epitheliopathy, Presenting with Bilateral Serous Retinal Detachment

• Rhee HS
• Huh W

Abstract

Acute posterior multifocal placoid pigment epitheliopathy(AMPPE), originally described by Gass in 1968, is a syndrome involving(1) rapid loss of central vision secondary to multifocal yellowish-white placoid lesions at the level of the pigment epithelium rather than in choroid; (2) rapid resolution of theselesions with perm anent alteration in the pigment epithelium and minimal damage to the adjacent choroid and retina; and (3) significant visual recovery which continues for several weeks or months after apparent ophthalmoscopic resolution of the acute lesions. Fluorescein angiography shows that the choroidal fluorescence is not visible at the site of acute lesions in the early arterial phase, but there is hyperfluorescence due to staining of the lesion in the late venous phase. We experienced and treated a case of acute posterior multifocal placoid pigment epitheliopathy, presenting with bilateral bullous serous sensory retinal detachment in 39 years old male, who had a good visual improvement.

MeSH Terms

Adult
Choroid
Epithelium
Fluorescein Angiography
Fluorescence
Humans
Male
Retina
Retinal Detachment*
Retinaldehyde*
Retinaldehyde