TY - JOUR
T1 - MULTIMODAL IMAGING of ACUTE EXUDATIVE POLYMORPHOUS VITELLIFORM MACULOPATHY with OPTICAL COHERENCE TOMOGRAPHY ANGIOGRAPHY and ADAPTIVE OPTICS SCANNING LASER OPHTHALMOSCOPY
AU - Skondra, Dimitra
AU - Nesper, Peter L.
AU - Fawzi, Amani A.
N1 - Publisher Copyright:
Copyright © by Ophthalmic Communications Society, Inc. Unauthorized reproduction of this article is prohibited.
PY - 2019/6/1
Y1 - 2019/6/1
N2 - Purpose:To report a case of acute exudative polymorphous vitelliform maculopathy including the findings of optical coherence tomography angiography and adaptive optics scanning laser ophthalmoscopy.Methods:Findings on clinical examination, color fundus photography, spectral-domain optical coherence tomography, infrared reflectance, autofluorescence, optical coherence tomography angiography, and adaptive optics scanning laser ophthalmoscopy.Results:A 54-year-old white man with no significant medical history and history of smoking presented with bilateral multiple serous and vitelliform detachments consistent with acute exudative polymorphous vitelliform maculopathy. Extensive infectious, inflammatory, and malignancy workup was negative. Spectral-domain optical coherence tomography showed thickened, hyperreflective ellipsoid zone, subretinal fluid, and focal as well as diffuse subretinal hyperreflective material corresponding to the vitelliform lesions. Optical coherence tomography angiography showed normal retinal and choroidal vasculature, whereas adaptive optics scanning laser ophthalmoscopy showed circular focal "target" lesions at the level of the photoreceptors in the area of foveal detachment.Conclusion:Multimodal imaging is valuable in evaluating patients with acute exudative polymorphous vitelliform maculopathy.
AB - Purpose:To report a case of acute exudative polymorphous vitelliform maculopathy including the findings of optical coherence tomography angiography and adaptive optics scanning laser ophthalmoscopy.Methods:Findings on clinical examination, color fundus photography, spectral-domain optical coherence tomography, infrared reflectance, autofluorescence, optical coherence tomography angiography, and adaptive optics scanning laser ophthalmoscopy.Results:A 54-year-old white man with no significant medical history and history of smoking presented with bilateral multiple serous and vitelliform detachments consistent with acute exudative polymorphous vitelliform maculopathy. Extensive infectious, inflammatory, and malignancy workup was negative. Spectral-domain optical coherence tomography showed thickened, hyperreflective ellipsoid zone, subretinal fluid, and focal as well as diffuse subretinal hyperreflective material corresponding to the vitelliform lesions. Optical coherence tomography angiography showed normal retinal and choroidal vasculature, whereas adaptive optics scanning laser ophthalmoscopy showed circular focal "target" lesions at the level of the photoreceptors in the area of foveal detachment.Conclusion:Multimodal imaging is valuable in evaluating patients with acute exudative polymorphous vitelliform maculopathy.
KW - acute exudative polymorphous vitelliform maculopathy
KW - adaptive optics scanning laser ophthalmoscopy
KW - optical coherence tomography angiography
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U2 - 10.1097/ICB.0000000000000591
DO - 10.1097/ICB.0000000000000591
M3 - Article
C2 - 28520626
AN - SCOPUS:85066399078
SN - 1935-1089
VL - 13
SP - 195
EP - 198
JO - Retinal Cases and Brief Reports
JF - Retinal Cases and Brief Reports
IS - 3
ER -