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Long-term visual function in acute posterior multifocal placoid pigment epitheliopathy
M D Wolf1, W L Alward, J C Folk
1Department of Ophthalmology, University of Iowa, Iowa City.
Archives of Ophthalmology (Chicago, Ill. : 1960)
|June 1, 1991
Summary
Acute posterior multifocal placoid pigment epitheliopathy (APMPPE) offers good long-term visual acuity. However, many patients experience persistent visual symptoms and field defects despite no recurrences.
Area of Science:
- Ophthalmology
- Retinal Diseases
- Chorioretinal Inflammation
Background:
- Acute posterior multifocal placoid pigment epitheliopathy (APMPPE) is a chorioretinal inflammatory condition.
- It typically affects young, healthy adults.
- Long-term visual prognosis and recurrence rates for APMPPE remain uncertain.
Purpose of the Study:
- To evaluate the long-term functional visual outcomes in patients with APMPPE.
- To assess recurrence rates and the stability of chorioretinal scars.
- To provide insights into the long-term visual prognosis of APMPPE.
Main Methods:
- Retrospective reexamination of 28 patients (53 eyes) diagnosed with APMPPE.
- Mean follow-up duration of 8 years.
- Assessment of final visual acuity, presence of residual symptoms, visual field defects, and recurrence events.
Main Results:
- Final visual acuity was 20/25 or better in 90.6% of eyes.
- Significant residual symptoms (blurred vision, metamorphopsia, scotomas) were reported in 62.3% of eyes.
- Central visual field defects were present in 67.9% of eyes; no recurrences were observed after the initial month.
Conclusions:
- APMPPE demonstrates a favorable long-term prognosis for visual acuity.
- Despite good acuity, a majority of patients experience persistent visual symptoms and paracentral scotomas.
- Chorioretinal scars in APMPPE appear stable over time without enlargement.