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Acute retinal pigment epitheliitis (ARPE). A case report
A B González Escobar1, A Ibáñez García1, A Chinchurreta Capote1
1Hospital Costa del Sol, Málaga, España.
Archivos De La Sociedad Espanola De Oftalmologia
|January 23, 2021
Summary
Acute retinal pigmentary epitheliitis (ARPE) caused temporary vision loss in a patient. This self-limiting condition typically resolves with a good prognosis, highlighting the need for accurate diagnostic methods.
Area of Science:
- Ophthalmology
- Medical Imaging
Background:
- Acute retinal pigmentary epitheliitis (ARPE) is a rare condition.
- Early diagnosis is crucial for appropriate patient management.
Observation:
- A 35-year-old woman presented with sudden left eye vision loss.
- Funduscopy revealed a subfoveal yellowish lesion.
- Optical coherence tomography (OCT) showed a hyper-reflective lesion affecting retinal layers.
Findings:
- The lesion resolved spontaneously within six weeks.
- OCT confirmed discontinuity in photoreceptor and retinal pigment epithelium lines post-resolution.
- The patient was diagnosed with ARPE.
Implications:
- Accurate diagnosis of ARPE is essential, utilizing funduscopy, OCT, and fluorescein angiography.
- Correct diagnosis prevents unnecessary treatments for self-limiting retinal conditions.
