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Acute posterior multifocal placoid pigment epitheliopathy



Acute posterior multifocal placoid pigment epitheliopathy Causes


The underlying causes of APMPPE is still not established. However, about one third of the patients with APMPPE reported history of upper respiratory infection or some other systemic illness.


Acute posterior multifocal placoid pigment epitheliopathy Definition


Acute posterior multifocal placoid pigment epitheliopathy (APMPPE) is a unusual form of eye disease that mostly affects Caucasia people ranging from ages 20–30 years old. This medical condition is characterized by a patient's central vision either in one or both eyes is affected or vision is completely lost due to inflammation a at thed the buildup of fluid in the back of the eye.


Acute posterior multifocal placoid pigment epitheliopathy Diagnosis


The diagnosis of APMPPE include lumbar puncture to determine elevated protein that may be presnt in the spinal fluid and urinalysis to detect the presence of casts, proteinuria and lymphocytes that may indicate microvascular nepropathy.


Acute posterior multifocal placoid pigment epitheliopathy Symptoms and Signs


Symptoms commonly include some visual disturbances, such as flashes of light and the appearance of blood cells in the retina. APMPPE can also cause patient's blurred vision, twinge at the back of the eyes, frequent headaches, and eye redness. A light brown, yellow , or white opaque cluster can also be seen in the central vision.


Acute posterior multifocal placoid pigment epitheliopathy Treatment


APMPPE is sually treated with immunosupressants and steroid therapy. However, treatments are known to be somewhat controversial but the consensus is that no treatment is currently available to alter the course of ocular lesions. In cases that are complicated by subretinal neovascularization, a surgical procedure known as laser photocoagulation mat prove useful.


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