Optical Coherence Tomography Findings of the Acute Exudative Polymorphous Vitelliform Maculopathy

The optical coherence tomography (OCT) findings of a 26-year-old HIV-positive male with acute exudative polymorphous vitelliform maculopathy were described. His with best-corrected visual acuity at the presentation of the disease was 20/25 in the right eye and 20/30 in the left eye. Fundus examination showed bilateral yellowish subretinal lesions arranged in a honeycombed pattern throughout the posterior pole in both eyes. OCT scans on the topography of these lesions showed well-defined hyporeflective spaces that occasionally merged, limited superiorly by the retinal pigment epithelium and inferiorly by a hypereflective tissue that could correspond to Bruch's membrane. Sub-sensory fluid was found in both maculas.