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

ABSTRACT

Acute posterior multifocal placoid pigment epitheliopathy(APMPPE) was first described by Gass in 1968. This syndrome is characterized by sudden loss of central vision secondary to multifocal yellowish-white placoid lesion of posterior pole at the level of the pigment epithelium and significant visual improvement after spontaneous resolution within a few weeks. In the early arterial and arteriovenous phase of fluorescein angiography, choroidal fluorescence is blocked by the placoid lesion but becomes hyperfluorescent in the late venous phase due to staining of the lesion. We experienced and treated a case of acute posterior multifocal placoid pigment epitheliopathy associated with bilateral serous retinal detachment in 29 years old male patient, who had a good visual improvement.