[Bilateral serous retinal detachments in acute posterior multifocal placoid pigmentous epitheliopathy]

A particular subtype of acute posterior multifocal placoid pigmented epitheliopathy (APMPPE), different from the classical Gass description, is presented. A 22 year old woman who suffered a sudden decrease in visual acuity associated to bilateral serous retinal detachment concurrent with anterior uveitis is studied. We remark the fact that patient had been using contraceptives and antibiotics (norfloxacin) for the past two months prior to first visit. One month later, visual acuity does not show any recovery. A corticosteroid treatment is prescribed showing improvement.

We believe that although APMPPE usually resolves spontaneously, treatment is needed for clinical subtypes involving serous retinal detachment.