Long-term visual function in acute posterior multifocal placoid pigment epitheliopathy.
Acute posterior multifocal placoid pigment epithellopathy is a chorioretinal inflammatory disease occurring in young, healthy adults. The long-term visual prognosis and recurrence rate is uncertain. We reexamined 28 patients (53 affected eyes) with acute posterior multifocal placoid pigment epitheliopathy (mean follow-up, 8 years) to obtain details on the long-term functional visual outcome. The final visual acuities were 20/25 or better in 48 eyes (90.6%), 20/30 to 20/100 in four eyes (7.5%), and 20/200 in one eye (1.9%). Although the final visual acuity was good, 33 eyes (62.3%) were symptomatic with blurred vision, metamorphopsia, or scotomas. Thirty-six eyes (67.9%) had significant central visual field defects on follow-up examination. There were no recurrences after the initial month of symptoms. The chorioretinal scars did not enlarge with time. Acute posterior multifocal placoid pigment epitheliopathy has a good longterm prognosis for visual acuity, although most patients have residual symptoms and paracentral scotomas.
Wolf
M D
MD
Department of Ophthalmology, University of Iowa, Iowa City.
Alward
W L
WL
Folk
J C
JC
D000208:Acute Disease; D000293:Adolescent; D000328:Adult; D002833:Choroiditis / Q000503:physiopathology*; D005260:Female; D005451:Fluorescein Angiography; D005500:Follow-Up Studies; D005654:Fundus Oculi; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D010857:Pigment Epithelium of Eye / Q000503:physiopathology*; D011379:Prognosis; D012173:Retinitis / Q000503:physiopathology*; D014785:Vision, Ocular; D014792:Visual Acuity; D014794:Visual Fields