1. History
  2. Exam
  3. Photos
  4. Diagnosis
  5. Teaching Points
  6. Comments

Case 118 Teaching Points

  • Acute retinal lesions similar to those of acute posterior multifocal placoid pigment epitheliopathy or serpiginous choroiditis, both clinically and on fluorescein and indocyanine green angiography
  • The clinical course, number of lesions, and location of these lesions help to distinguish this entity from acute posterior multifocal placoid pigment epitheliopathy and serpiginous choroiditis
    • Evidence of numerous posterior and peripheral retinal lesions predating or occurring simultaneously with macular involvement
    • Older, healing pigmented lesions are often accompanied by the appearance of new active white placoid lesions
    • Additionally, there are prolonged periods of activity resulting in the appearance of more than 50 and sometimes hundreds of lesions scattered throughout the fundus

References

Golchet PR, Jampol LM, Wilson D, Yannuzzi LA, Ober M, Stroh E. Persistent placoid maculopathy: a new clinical entity. Ophthalmology 2007;114:1530-1540.

Jones BE, Jampol LM, Yannuzzi LA, Tittl M, Johnson MW, Han DP, Davis JL, Williams DF. Relentless placoid chorioretinitis: a new entity or an unusual variant of serpiginous chorioretinitis. Arch Ophthalmol 2001;118:931-938.

Last Modified: Wednesday, 28-May-2008 14:05:58 EDT