Optical coherence tomographic findings in acute exudative polymorphous vitelliform maculopathy

Vanessa Cruz-Villegas, Natalia Villate, Robert W. Knighton, Patrick Rubsamen, Janet L. Davis

Research output: Contribution to journalArticlepeer-review

21 Scopus citations

Abstract

PURPOSE: To report two cases of acute exudative polymorphous vitelliform maculopathy. DESIGN: Observational case reports. METHODS: Fluorescein angiography, optical coherence tomography, and electrophysiology were performed. RESULTS: Both patients presented with sudden onset of blurred vision and bilaterally symmetric, central, and perimacular vitelliform lesions. Perimacular lesions were faintly hyperfluorescent early in the disease, but there was no abnormal fluorescence in the macular centers. Optical coherence tomography revealed anterior displacement of the photoreceptor layer by a hypereflective subretinal layer overlying a hyporeflective space above the retinal pigment epithelium-choriocapillaris complex under all lesions and no subretinal fluid. The electrooculogram was abnormal. Near complete resolution occurred over 4 to 8 months, with no improvement in the electrooculogram. CONCLUSIONS: Transient multifocal vitelliform lesions suggest a diagnosis of acute exudative polymorphous vitelliform maculopathy. Optical coherence tomography reveals characteristic anterior displacement of the photoreceptor layer by a subretinal hypereflective deposit similar to that seen in adult-onset foveomacular vitelliform dystrophy.

Original languageEnglish (US)
Pages (from-to)760-763
Number of pages4
JournalAmerican journal of ophthalmology
Volume136
Issue number4
DOIs
StatePublished - Oct 1 2003

ASJC Scopus subject areas

  • Ophthalmology

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