Dr. Anoop Mishra, M16828
Purpose: To discuss 3 cases of APMPPE
Methods: 3 young patients presented with diminution of vision and headache. Basic ophthalmic examination and additional diagnostic methods including Fluorescein angiography (FA), optical coherence tomography (OCT) and CT Head were done
Result:. Fundus showed hypopigmented cream coloured flat lesions over the posterior pole. Localized serous retinal detachment was present in 2 patients. Hyperemic edematous disc was present in all the 3 patients. FFA showed nonfluorescent lesions in early phase and progressive hyperfluorescence in late phases. This established the diagnosis of APMPPE. All patients were treated with systemic steroids and showed improvement in clinical features
Conclusion: APMPPE is a rare disorder and may be associated with a number of systemic conditions, thus warrants a detailed systemic workup. Although the disease has good prognosis, systemic steroids may be beneficial in patients with macular involvement or disc edema