Acute bilateral serous retinal detachments with spontaneous resolution in a 6-year-old boy

Sophie Van Camp; Steffi Vande Walle; Ingele Casteels; Julie Jacob; Cathérine Cassiman; Carine Wouters; Pieter-Paul Schauwvlieghe

doi:10.3205/oc000164

Acute bilateral serous retinal detachments with spontaneous resolution in a 6-year-old boy

GMS Ophthalmol Cases. 2020 Aug 25:10:Doc37. doi: 10.3205/oc000164. eCollection 2020.

Authors

Sophie Van Camp¹, Steffi Vande Walle¹, Ingele Casteels¹, Julie Jacob¹, Cathérine Cassiman¹, Carine Wouters², Pieter-Paul Schauwvlieghe¹

Affiliations

¹ Department of Ophthalmology, University Hospitals Leuven, Belgium.
² Department of Pediatrics, University Hospitals Leuven, Belgium.

Abstract

A healthy 6-year-old boy presented with acute bilateral vision loss, multiple serous retinal detachments between the vascular arcades and a thickened choroid. Spontaneous resolution occurred over several weeks. We hypothesize that the clinical constellation in our patient is suggestive of acute exudative polymorphous vitelliform maculopathy (AEPVM) or might be an atypical presentation of Vogt-Koyanagi-Harada (VKH) disease. We propose that it was caused by an autoimmune-mediated activation of inflammatory cells at the level of the choroid, induced by an unknown trigger.

Keywords: acute exudative polymorphous vitelliform maculopathy; serous retinal detachment; young child.

Publication types

Case Reports