Acute Placoid Multifocal Posterior Pigment Epitheliopathy Rupesh Agrawal, Carlos Pavesio Moorfields Eye Hospital, NHS Foundation Trust, London, United Kingdom

Ocular and General History 48 year old, Asian Male presentation with blurring vision OU no pain, redness no systemic history

First Presentation - Ocular Examination VA: OU- 6/6 OU anterior chamber quiet, no anterior vitreous cells no RAPD

First Presentation - Fundus multiple placoid lesions temporal to the fovea central macular scarring with all confluent lesions and pigmentation.

Acute Placoid Multifocal Posterior Pigment Epitheliopathy based on: Diagnosis Acute Placoid Multifocal Posterior Pigment Epitheliopathy based on: clinical findings Good VA, not much of inflammation Please add VA,

Follow up - After 1 Month Baseline: Placoid lesions and corresponding FFA showing active lesions Follow up: 1 month – healed lesions with no active lesions on FFA or ICGA

Treatment oral steroids: Prednisolone in tapering dose – started with 60mg/day. for 2 months.

Final follow up – After 4 Months oral steroids for 2 months lesions completely resolved no residual visual deficit Final VA: OU 6/6