Acute exudative polymorphous vitelliform maculopathy (AEPVM) is a rare bilateral maculopathy characterized by chronic and long-term course. We report a case of AEPVM with an unusual presentation and management in a middle-aged man. He presented with clinical features of bilateral AEPVM accompanied by multiple intraretinal cysts, with a sudden increase of intraretinal fluid and visual function deterioration over a span of few days. Therefore, we administered empirically an intravenous bolus injection of methylprednisolone. One week after, there was a full recovery of visual acuity and cystic intraretinal spaces completely disappeared.
Acute exudative polymorphous vitelliform maculopathy: to bolus or not to bolus? / Grenga, P. L.; Fragiotta, S.; Cutini, A.; Vingolo, E. M.. - In: OMAN JOURNAL OF OPHTHALMOLOGY. - ISSN 0974-620X. - 11:3(2018), pp. 280-283. [10.4103/ojo.OJO_12_2017]
Acute exudative polymorphous vitelliform maculopathy: to bolus or not to bolus?
Fragiotta S.
Secondo
;Cutini A.Penultimo
;Vingolo E. M.Ultimo
2018
Abstract
Acute exudative polymorphous vitelliform maculopathy (AEPVM) is a rare bilateral maculopathy characterized by chronic and long-term course. We report a case of AEPVM with an unusual presentation and management in a middle-aged man. He presented with clinical features of bilateral AEPVM accompanied by multiple intraretinal cysts, with a sudden increase of intraretinal fluid and visual function deterioration over a span of few days. Therefore, we administered empirically an intravenous bolus injection of methylprednisolone. One week after, there was a full recovery of visual acuity and cystic intraretinal spaces completely disappeared.| File | Dimensione | Formato | |
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Grenga_Acute exudative polymorphous_2018.pdf
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Note: https://www-ncbi-nlm-nih-gov.ezproxy.uniroma1.it/pmc/articles/PMC6219324/
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