Acute progressive multifocal Best's disease in a 61-year-old man.
OBJECTIVE
To report acute progressive multifocal Best's disease in patients in their seventh decade.


METHODS
We report one such case.


RESULTS
We examined a 61-year-old man with strikingly symmetric, 1-disk diameter serous retinal detachments involving each fovea. Fluorescein angiography was unremarkable, with no dye leakage. Electrophysiologic testing confirmed the diagnosis. Visual acuity decreased, and within 1 month, the size and number of lesions rapidly increased. Three months later, the lesions quickly evolved to the classic vitelliform stage.


CONCLUSIONS
This well-documented case expands the spectrum of findings in multifocal Best's disease.
Ciulla
T A
TA
Department of Ophthalmology, Indiana University School of Medicine, USA.
Frederick
A R
AR
D000208:Acute Disease; D018450:Disease Progression; D004594:Electrophysiology; D005584:Fovea Centralis / Q000473:pathology; D006801:Humans; D008266:Macula Lutea; D008297:Male; D008875:Middle Aged; D012164:Retinal Diseases / Q000175:diagnosis / Q000473:pathology / Q000503:physiopathology*; D014792:Visual Acuity