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Idiopathic Acute Exudative Polymorphous Vitelliform Maculopathy: Insight into Imaging Features and Outcomes
Sónia Torres-Costa1, Susana Penas1,2, Ângela Carneiro1,2
1Department of Ophthalmology, Centro Hospitalar Universitário de São João, Porto, Portugal.
Case Reports in Ophthalmological Medicine
|February 22, 2020
Summary
Idiopathic exudative polymorphous vitelliform maculopathy presents with subtle retinal changes. Multimodal imaging is crucial for accurate diagnosis and understanding this rare condition.
Area of Science:
- Ophthalmology
- Medical Imaging
Background:
- Idiopathic exudative polymorphous vitelliform maculopathy (EPVM) is a rare macular disorder.
- Accurate diagnosis relies on characteristic imaging findings.
Observation:
- A 41-year-old woman presented with bilateral blurry vision.
- Fundoscopy revealed bilateral foveal serous neurosensory detachments.
- Spectral-domain optical coherence tomography confirmed detachments.
Findings:
- Fluorescein angiography was unremarkable.
- Indocyanine green angiography showed hyperfluorescent spots.
- Blue fundus autofluorescence revealed hyperautofluorescent vitelliform lesions.
Implications:
- Multimodal imaging is essential for diagnosing EPVM.
- Understanding imagiological findings aids in patient management.
- This case highlights the diagnostic utility of combined imaging techniques.
