Uveitis
Case 1
Contributors: Dr. John Liu, Dr. Irfan Kherani, Dr. Chloe Gottlieb
Patient Presentation: A 31-year-old female presents with a 1-week history of sudden, painless, bilateral blurred vision with central scotomas, worse in her right eye. Two weeks prior, she experienced flu-like symptoms, which have now resolved. On fundus exam, there are creamy grey-white placoid lesions at the level of the retinal pigment epithelium (RPE) in the posterior pole.




Question: The patient's OCT is shown above. What abnormalities do you visualize in the patient's OCT image?
Question: What is the diagnosis?
Question: If this is her first presentation, what other systemic conditions should this patient be worked up for?
Learning Objectives:
1. Identify OCT features of acute posterior multifocal placoid pigment epitheliopathy (APMPPE)
2. Recognize associations of APMPPE with other systemic conditions