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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, Spain.
Archivos De La Sociedad Espanola De Oftalmologia
|May 6, 2022
Summary
Acute retinal pigmentary epitheliitis (ARPE) caused temporary vision loss in a 35-year-old woman. Prompt diagnosis via funduscopy, OCT, and angiography is crucial for this self-limiting condition.
Area of Science:
- Ophthalmology
- Medical Imaging
Background:
- Acute retinal pigmentary epitheliitis (ARPE) is a rare condition affecting the outer retina.
- Early diagnosis is essential 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 involving the outer nuclear layer to the retinal pigment epithelium.
Findings:
- The lesion spontaneously reabsorbed within six weeks.
- A discontinuity in the photoreceptor and retinal pigment epithelium lines persisted post-resolution.
- The patient was diagnosed with ARPE, a self-limiting condition with a favorable prognosis.
Implications:
- Accurate diagnosis of ARPE is vital to prevent unnecessary treatments.
- Multimodal imaging, including funduscopy, OCT, and fluorescein angiography, aids in diagnosis.
- Understanding ARPE's natural course is key for ophthalmologists.
