Acute posterior multifocal placoid pigment epitheliopathy: association with granulomatous anterior uveitis: case report.

In this paper, we report a 43-year-old male patient presented with sudden decreased vision of both eyes. His visual acuity was 20/125 in the right and 20/400 in the left eye. A complete ophthalmologic examination was performed. Examination of fundus revealed multiple placoid, yellow-white lesions lo...

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Publicado en:Turkiye Klinikleri Journal of Medical Sciences Vol. 32; no. 2; pp. 532 - 537
Autores principales: Alpay, Atilla, Sagdik, Haci Murat, Ugurbas, Suat Hayri
Formato: case study diagnostic images pictorial Journal Article
Publicado: Turkiye Klinikleri Apr2012
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Acute posterior multifocal placoid pigment epitheliopathy: association with granulomatous anterior uveitis: case report.
      aug:
        au:
          Alpay, Atilla
          Sagdik, Haci Murat
          Ugurbas, Suat Hayri
        affil: Department of Opthalmology, Zonguldak Karaelmas University Faculty of Medicine, Zonguldak
      sug:
        subj:
          Adrenal Cortex Hormones
          Chronic Disease Diagnosis
          Diagnosis, Eye
          Granuloma Diagnosis
          Uveitis Diagnosis
          Adult
          Eye Diseases Classification
          Eye Diseases Therapy
          Male
          Adult: 19-44 years
          Male
      ab: In this paper, we report a 43-year-old male patient presented with sudden decreased vision of both eyes. His visual acuity was 20/125 in the right and 20/400 in the left eye. A complete ophthalmologic examination was performed. Examination of fundus revealed multiple placoid, yellow-white lesions located deep in the retina of both eyes. The fluorescein angiogram showed early hypofluorescence and late hyperfluorescence of the lesions, typical of acute posterior multifocal placoid pigment epitheliopathy (APMPPE). Four days later, anterior chamber showed 2+ cells, mild flare, mutton-fat keratic precipitates on the corneal endothelium in both eyes and posterior synechia in the left eye. Radiographic examinations and laboratory tests were normal. Treatment with topical corticosteroids, cyclopentolate drop and oral prednisolone were administered. After six weeks, the patient\'s symptoms regressed and the visual acuities returned to 20/20. Treatment is not necessary for most cases of typical APMPPE; however, systemic and topical corticosteroids and/or cycloplegics may be useful for cases with atypical clinical features.
      pubtype: Academic Journal
      doctype:
        case study
        diagnostic images
        pictorial
        Journal Article
      ougenre: Article
    language: Turkish
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