Acute posterior multifocal placoid pigment epitheliopathy associated with serous retinal detachment: A case report

Ahmed Mahjoub; Nadia Ben Abdesslem; Chiraz Ben Youssef; Nesrine Zaafrane; Anis Mahjoub; Atf Ben Abderrazek; Ilhem Sellem; Hanin Chtioui; Mohamed Ghorbel; Hachemi Mahjoub

doi:10.1016/j.amsu.2022.103600

Acute posterior multifocal placoid pigment epitheliopathy associated with serous retinal detachment: A case report

Ann Med Surg (Lond). 2022 Apr 8:77:103600. doi: 10.1016/j.amsu.2022.103600. eCollection 2022 May.

Authors

Ahmed Mahjoub^{1

2}, Nadia Ben Abdesslem^{1

2}, Chiraz Ben Youssef^{1

2}, Nesrine Zaafrane^{1

2}, Anis Mahjoub^{1

2}, Atf Ben Abderrazek^{1

2}, Ilhem Sellem^{1

2}, Hanin Chtioui^{1

2}, Mohamed Ghorbel^{1

2}, Hachemi Mahjoub^{1

2}

Affiliations

¹ Department of Ophthalmology, Farhat Hached University Hospital, Sousse, Tunisia.
² Faculty of Medicine of Sousse, University of Sousse, Tunisia.

Abstract

We report the occurrence of serous retinal detachment (SRD) in acute posterior multifocal placoid pigment epitheliopathy (APMPPE). A 22-year-old man with no general or ophthalmological pathological history presented with an acute and bilateral decreased visual acuity. There was no notion of recent flu or recent vaccination. There were anterior chamber cells and vitreous cells. Fundus revealed white-yellowish lesions, scattered on posterior pole and periphery, associated with SRD in both eyes. Fluorescein Angiography showed early hypofluorescence followed by late hyperfuorescence. Optical coherence tomography (OCT) showed hyperreflective bands of the outer nuclear layer and interruption of the ellipsoid zone associated with bilateral SRD. Repeat OCT revealed a spontaneous and complete regression of SRD in both eyes, and improvement of visual acuity after one week of evolution without any treatment. Serous retinal detachment is an uncommon manifestation of APMPPE. It is more suggestive of Vogt-Koyanagi-Harada disease (VKH), although angiographic features are typically observed in APMPPE. Moreover, spontaneous decrease of SRD within a few days is more in favor of APMPPE.

Keywords: APMPPE, Acute posterior multifocal placoid pigment epitheliopathy; Acute posterior multifocal placoid pigment epitheliopathy; Case report; Fluorescein angiography; LE, Left eye; OCT; OCT, Optical Coherence Tomography; RE, Right eye; SRD, Serous retinal detachment; Serous retinal detachment; VKH, Vogt-Koyanagi-Harada.

Publication types

Case Reports