Acute posterior multifocal placoid pigment epitheliopathy with bilateral central retinal vein occlusion.
OBJECTIVE
We examined a patient with acute posterior multifocal placoid pigment epitheliopathy and bilateral central retinal vein occlusion.


METHODS
Case report. A 28-year-old woman presented with the typical findings of acute posterior multifocal placoid pigment epitheliopathy. One month after presentation, the patient developed bilateral central retinal vein occlusion.


RESULTS
Four months after presentation, resolution of the bilateral central retinal vein occlusion resulted in a corrected visual acuity of RE, 20/25 and LE, 3/400.


CONCLUSIONS
Vasculitis, sometimes associated with acute posterior multifocal placoid pigment epitheliopathy, can affect the ciliary vessels that supply the optic disk. This may result in axoplasmic stasis and compression of the central retinal vein, leading to impending or complete central retinal vein occlusion.
Allee
S D
SD
Department of Ophthalmology, Geisinger Medical Center.
Marks
S J
SJ
D000208:Acute Disease; D000328:Adult; D005260:Female; D005654:Fundus Oculi; D006801:Humans; D010857:Pigment Epithelium of Eye / Q000473:pathology*; D012164:Retinal Diseases / Q000150:complications / Q000473:pathology; D012170:Retinal Vein Occlusion / Q000150:complications* / Q000473:pathology; D014657:Vasculitis / Q000473:pathology; D014792:Visual Acuity