Unilateral acute posterior multifocal placoid pigment epitheliopathy

A 24-year-old woman complained of paracentral scotomas in her left eye. Her visual acuity was good bilaterally. Multifocal, creamy, yellow-white lesions were seen at the level of the pigment epithelium and choroid in the left fundus. Fluorescein angiography showed blockage at the early phase and hyperfluorescence at the late phase in the left eye. The right fundus remained normal during the follow-up period of 1 year. We believe that unilateral acute posterior multifocal placoid pigment epitheliopathy, as found in our patient, may be uncommon.