Acute Posterior Multifocal Placoid Pigment Epitheliopathy (APMPPE): A Case Report

Abstract

A 46 year old male patient presented with chief complaint of blurring of vision in the left eye since one week which was sudden in onset and painless, progressive in nature. He had mild fever and malaise one week back which responded to anti-pyretics. He had a history of cardiac stenting and was on tablet aspirin. The patient had no personal or family history of eye disease. The best corrected visual acuity was 6/6, N6 in right eye and 6/60, N24 in left eye. Color vision was normal in the right eye, but abnormal in the left eye. On examination, the anterior segment was normal and had no evidence of anterior uveitis in both eyes. Fundus examination showed multiple, sub-retinal, yellowishwhite placoid lesions, predominantly at the posterior pole in both the eyes and there was left eye macular oedema on stereoscopic examination by 90D lens (Figure 1, 2). Optical Coherence Tomography (OCT) of the left eye macula demonstrated serous detachment of the neuroretina, with free fluid between the neuroretina and the retinal pigment epithelium (RPE). Central macular thickness (CMT) was 527 μm (Figure 3), whereas, the right eye was normal and Brief Communication