Case Report · Description de cas · Fallbericht

Progression of Choroidal Atrophy in Acute Posterior Multifocal Placoid Pigment Epitheliopathy
Salvatore Daniele, Claudia Daniele, Fabrizio Orcidi, Antonio Tavano

Department of Medico-Surgical Specialities, Chair of Ophthalmology, University of Perugia, School of Medicine, Perugia, Italy

Address of Corresponding Author

Ophthalmologica 1998;212:66-72 (DOI: 10.1159/000027264)

  Key Words

• Choroidopathy
• Fluorescein angiography
• Retina
• Retinal pigment epithelium
• Retinopathy
• Vasculitis

  Abstract

Acute posterior multifocal placoid pigment epitheliopathy is a non-granulomatous chorioretinitis of uncertain origin that occurs in healthy young adults. The prevailing opinion is that the disease has a good long-term prognosis for visual acuity because it is self-limiting and chorioretinal scars do not enlarge with time. A middle-aged adult male who had acute posterior multifocal placoid pigment epitheliopathy in one eye has been followed for 22 years. After apparent clinical healing of the placoid epithelial lesions, widespread severe choroidal atrophy with visual loss occurred and progressed over years without interruption. To our knowledge this is the second report of progressive deterioration of a supposedly self-limiting chorioretinal disease.

  Author Contacts

Salvatore Daniele, MD
Via Raniero Gigliarelli, 50
I-06124 Perugia (Italy)

  Article Information

Received: Received: January 30, 1996
Accepted after revision: November 29, 1996
Number of Print Pages : 7
Number of Figures : 7, Number of Tables : 0, Number of References : 25