Acute retinal pigment epitheliitis (ARPE). A case report

A B González Escobar; A Ibáñez García; A Chinchurreta Capote; S Gismero Moreno; M Lorenzo Soto

doi:10.1016/j.oftal.2020.11.019

Acute retinal pigment epitheliitis (ARPE). A case report

Arch Soc Esp Oftalmol (Engl Ed). 2021 Jan 19:S0365-6691(20)30489-5. doi: 10.1016/j.oftal.2020.11.019. Online ahead of print.

[Article in English, Spanish]

Authors

A B González Escobar¹, A Ibáñez García², A Chinchurreta Capote², S Gismero Moreno², M Lorenzo Soto²

Affiliations

¹ Hospital Costa del Sol, Málaga, España. Electronic address: anadupi83@hotmail.com.
² Hospital Costa del Sol, Málaga, España.

PMID: 33483172
DOI: 10.1016/j.oftal.2020.11.019

Abstract

A 35-year-old woman arrived in the emergency department due to loss of vision in the left eye. She had a subfoveal yellowish-looking lesion that, on optical coherence tomography (OCT), corresponded to a hyper-reflective lesion from the external nuclear layer to the retinal pigment epithelium. The lesion was reabsorbed at 6 weeks, leaving a discontinuity in the photoreceptor and retinal pigment epithelium lines. The patient was diagnosed with acute retinal pigmentary epitheliitis (ARPE). ARPE is a self-limiting disease with a good prognosis. Emphasis is placed on the importance of a correct diagnosis using funduscopy, OCT, and fluorescent angiography, in order to avoid unnecessary treatments.

Keywords: Acute retinal pigment epitheliitis; Epitelio pigmentario retiniano; Epitelitis pigmentaria retiniana aguda; Optical coherence tomography; Retinal pigment epithelium; Tomografía de coherencia óptica.

Publication types

Case Reports