Abstract

Acute posterior multifocal placoid pigment epitheliopathy (APMPPE) affects young to middle-aged adults of both genders equally and ocular manifestations are often preceded by flu-like illness. Symptoms of the disease include acute vision loss, associated with central and paracentral scotoma. Impairment of vision is usually bilateral, but may be asymmetric. We report a case of a 46 year old male patient who presented to us with blurring of vision in the left eye since one week. Fundus examination of both eyes showed sub-retinal yellowish-white placoid lesions, predominantly at the posterior pole. Optical Coherence Tomography of the left eye macula revealed macular oedema. Fundus fluorescein angiography (FFA) of both eyes showed early hypofluorescence and late hyperfluorescence.

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