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?
1. Identify OCT features of acute posterior multifocal placoid pigment epitheliopathy (APMPPE)
2. Recognize associations of APMPPE with other systemic conditions