1. Acute Placoid Multifocal Posterior Pigment Epitheliopathy
Rupesh Agrawal, Carlos Pavesio
Moorfields Eye Hospital,
NHS Foundation Trust,
London, United Kingdom

2. Ocular and General History
48 year old, Asian Male
presentation with blurring vision OU
no pain, redness
no systemic history

3. First Presentation - Ocular Examination
VA: OU- 6/6 OU
anterior chamber quiet,
no anterior vitreous cells
no RAPD

4. First Presentation - Fundus
multiple placoid lesions temporal to the fovea
central macular scarring with all confluent lesions and pigmentation.

5. Acute Placoid Multifocal Posterior Pigment Epitheliopathy based on:
Diagnosis
Acute Placoid Multifocal Posterior Pigment Epitheliopathy
based on:
clinical findings
Good VA, not much of inflammation
Please add VA,

6. Follow up - After 1 Month Baseline: Placoid lesions and corresponding
FFA showing active lesions
Follow up: 1 month – healed lesions with no active lesions on FFA or ICGA

7. Treatment
oral steroids: Prednisolone in tapering dose – started with 60mg/day.
for 2 months.

8. Final follow up – After 4 Months
oral steroids for 2 months
lesions completely resolved
no residual visual deficit
Final VA: OU 6/6