Mahjoub Ahmed, Ben Abdesslem Nadia, Ben Youssef Chiraz, Zaafrane Nesrine, Mahjoub Anis, Ben Abderrazek Atf, Sellem Ilhem, Chtioui Hanin, Ghorbel Mohamed, Mahjoub Hachemi
Department of Ophthalmology, Farhat Hached University Hospital, Sousse, Tunisia.
Faculty of Medicine of Sousse, University of Sousse, Tunisia.
Ann Med Surg (Lond). 2022 Apr 8;77:103600. doi: 10.1016/j.amsu.2022.103600. eCollection 2022 May.
We report the occurrence of serous retinal detachment (SRD) in acute posterior multifocal placoid pigment epitheliopathy (APMPPE). A 22-year-old man with no general or ophthalmological pathological history presented with an acute and bilateral decreased visual acuity. There was no notion of recent flu or recent vaccination. There were anterior chamber cells and vitreous cells. Fundus revealed white-yellowish lesions, scattered on posterior pole and periphery, associated with SRD in both eyes. Fluorescein Angiography showed early hypofluorescence followed by late hyperfuorescence. Optical coherence tomography (OCT) showed hyperreflective bands of the outer nuclear layer and interruption of the ellipsoid zone associated with bilateral SRD. Repeat OCT revealed a spontaneous and complete regression of SRD in both eyes, and improvement of visual acuity after one week of evolution without any treatment. Serous retinal detachment is an uncommon manifestation of APMPPE. It is more suggestive of Vogt-Koyanagi-Harada disease (VKH), although angiographic features are typically observed in APMPPE. Moreover, spontaneous decrease of SRD within a few days is more in favor of APMPPE.
我们报告了急性后极部多灶性鳞状色素上皮病变（APMPPE）中浆液性视网膜脱离（SRD）的发生情况。一名22岁男性，无全身或眼科病史，出现急性双侧视力下降。近期无流感或疫苗接种史。有前房细胞和玻璃体细胞。眼底可见白色至淡黄色病变，散在分布于后极部和周边部，双眼均伴有SRD。荧光素血管造影显示早期低荧光，随后晚期高荧光。光学相干断层扫描（OCT）显示外层核层的高反射带以及与双侧SRD相关的椭圆体带中断。重复OCT显示双眼SRD自发完全消退，病程一周后未经任何治疗视力有所改善。浆液性视网膜脱离是APMPPE的一种罕见表现。它更提示伏格特-小柳-原田病（VKH），尽管血管造影特征通常在APMPPE中观察到。此外，SRD在数天内自发减轻更支持APMPPE。
