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Patient Presentation: A 23-year-old obese female was diagnosed with idiopathic intracranial hypertension (IIH) and referred to neurosurgery for ventriculoperitoneal shunt. A baseline ocular examination was performed prior to the procedure.
On examination, vision was 20/200 in the right eye, and 20/40 in the left eye. There was a right relative afferent pupillary defect. Slit lamp examination was normal.
A dilated fundus examination was performed demonstrating the following:
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Uveitis
Case 1
Contributors: Dr. John Liu, Dr. Irfan Kherani, Dr. Chloe Gottlieb
Patient Presentation: A 31-year-old female presents with a 1-week history of sudden, painless, bilateral blurred vision with central scotomas, worse in her right eye. Two weeks prior, she experienced flu-like symptoms, which have now resolved. On fundus exam, there are creamy grey-white placoid lesions at the level of the retinal pigment epithelium (RPE) in the posterior pole.
Question: The patient's OCT is shown above. What abnormalities do you visualize in the patient's OCT image?
Question: What is the diagnosis?
Question: If this is her first presentation, what other systemic conditions should this patient be worked up for?
Learning Objectives:
1. Identify OCT features of acute posterior multifocal placoid pigment epitheliopathy (APMPPE)
2. Recognize associations of APMPPE with other systemic conditions
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