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  4. Acute posterior multifocal placoid pigment epitheliopathy versus vogt-koyanagi-harada disease: tomographic characteristics

Acute posterior multifocal placoid pigment epitheliopathy versus vogt-koyanagi-harada disease: tomographic characteristics

Authors

Abu Yaghi Nakhleh E.
Shokry, Ahmed N.
The University of Jordan ; , Division of Ophthalmology ; Department of Special Surgery

Jordan Med. J. 2015; 49 (2): 95-100
Jordan Medical Journal
Journal Country: Jordan
P-ISSN: 0446-9283
Indexing Status : In Process
Citation: Nakhleh E. Abu Yaghi ,Ahmed N. Shokry , Acute posterior multifocal placoid pigment epitheliopathy versus vogt-koyanagi-harada disease: tomographic characteristics, Jordan Med. J. 2015; 49 (2): 95-100

Abstract English

Objective: To report a case of a male patient with acute posterior multifocal placoid pigment epitheliopathy [APMPPE] mimicking acute Vogt-Koyanagi-Harada [VKH] disease, discuss imaging findings and review pertinent tomography literature contributing to this diagnostic challenge Case Report: A twenty six year-old male presented with bilateral blurring of vision for 2 weeks, for which he underwent full ophthalmologic examination, laboratory evaluation, B-scan ultrasonography, fluorescein angiography and spectral domain optical coherence tomography [OCT] . OCT disclosed multifocal intra-retinal lobulated cystic fluid collections with septae of variable thickness, disruption of the photoreceptor layer with choroidal thickening and hyper-reflectance in outer retinal layers
Conclusions: APMPPE and acute VKH can present with substantial overlap in symptoms, signs and ophthalmic imaging characteristics. OCT offers valuable information about both shared and different features. A holistic approach is necessary to reach a proper diagnosis and plan treatment and follow up

Full Text English

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