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Published byAllen Sutton Modified over 5 years ago
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Acute Placoid Multifocal Posterior Pigment Epitheliopathy
Rupesh Agrawal, Carlos Pavesio Moorfields Eye Hospital, NHS Foundation Trust, London, United Kingdom
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Ocular and General History
48 year old, Asian Male presentation with blurring vision OU no pain, redness no systemic history
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First Presentation - Ocular Examination
VA: OU- 6/6 OU anterior chamber quiet, no anterior vitreous cells no RAPD
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First Presentation - Fundus
multiple placoid lesions temporal to the fovea central macular scarring with all confluent lesions and pigmentation.
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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,
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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
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Treatment oral steroids: Prednisolone in tapering dose – started with 60mg/day. for 2 months.
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Final follow up – After 4 Months
oral steroids for 2 months lesions completely resolved no residual visual deficit Final VA: OU 6/6
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