Journal
BMJ CASE REPORTS
Volume 16, Issue 6, Pages -Publisher
BMJ PUBLISHING GROUP
DOI: 10.1136/bcr-2022-253969
Keywords
Ophthalmology; Retina
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The authors present a case of AEPVM in a healthy man in his 60s with subacute bilateral blurred vision. Bilateral central serous detachments and vitelliform-like material deposition were observed. Genetic testing confirmed the diagnosis of idiopathic AEPVM. Complete resolution of the lesions was observed after six months.
The authors describe a case of acute exudative polymorphous vitelliform maculopathy (AEPVM) in an otherwise healthy man in his 60s complaining of subacute bilateral blurred vision. At examination, best-corrected visual acuity was 20/32 in the right eye and 20/40 in the left eye. Bilateral central large serous detachments with inferior meniscus-like deposition of a vitelliform-like material were observed at funduscopy and confirmed by spectral-domain optical coherence tomography. Small vitelliform-like lesions along the temporal superior vascular arcades were also seen. The lesions with vitelliform appearance appeared hyperautofluorescent on fundus autofluorescence. A complete systemic workup and genetic testing were performed and the diagnosis of idiopathic AEPVM was established. Six months later, a complete resolution of the lesions was observed.
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