What is an Acute Posterior Multifocal Placoid Pigment Epitheliopathy?

April 21 22:45 2019 Print This Article

It is defined as a disorder in which there is a chorio retinal disease in which the light colored lesions which are formed in the posterior pole and inside the retina of eye. It may lead to the loss of vision and it can be mild to severe with no pain involvement. It is a cute inflammatory disorder in which the lesions leave scar and the visual acuity improves. It is referred as the APMPPE. It occurs equally between both the genders and is more likely to affect the person between the ages of 20 to 40. It occurs after a systemic infection and is related to the depressed immune system. If the infection is unilateral it can lead to the recurrent episodes and it can also involve the second eye. It can occur years after the initial infection and most recurrences happen in less than 6 months.

What is the etiology of Acute posterior multifocal placoid pigment epitheliopathy?

The origin of the infections is not known and most of the theories occur as an immune response to a large infection. The chances of it to be viral are more due to the viral like symptoms and the illness which accompanies its.

What are the after effects of Acute posterior multifocal placoid pigment epitheliopathy?

The vision improves in all the cases but one does not get the complete eye sight. The eye sight remains impaired by the lower acuity and some of the symptoms remain forever. The long term diagnosis is good for some cases and more than half of the people report visual disturbances in the centre of eye. There are few side effects of the diseases like strokes and the infections of brain. They start as a mild head ache and increase in the pain and thresh hold with the attacks of dys esthesia. If the lesion infects the fovea this type of degradation can happen. The APMPPE effects the brain and leads to the cerebero vascular damage which includes the cereberal artery damage due to the inflammation. One can also see a connection between the infection and cereberal vasculitis.

What are the signs and symptoms of Acute posterior multifocal placoid pigment epitheliopathy?

It includes the formation of multiple lesions in which the lesions can be colored from grey white to cream yellow. The edges of the lesions are indistinct and have no true pattern and are mostly similar in the size. It is possible for some adjacent lesions to join and cover a large area. One can also notice the discharge of liquid from the eye and occurs due to the inflammation. The distortion of vision and area of effect depends on the placement and number of lesions in the eye. The lesions clear up and disappear giving the eye a light and mottled shade. One can also notice a mild scarring and one can notice the choloroidal neo vascularization as a late sign. The symptoms include the blurred vision, scotomas, photopsia, Meta morphopsia.

What is the treatment of Acute posterior multifocal placoid pigment epitheliopathy?

There is no specific treatment for this disorder.

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