Posterior scleritis and acute posterior multifocal placoid pigment epitheliopathy: A case of painful chorioretinitis and review of the current literature
Purpose: To describe a patient who developed concurrent acute posterior multifocal placoid pigment epitheliopathy (APMPPE) and posterior scleritis. Observations: We describe a middle-aged woman that developed eye pain and photopsia. She was found to have a “T-sign” on ultrasound of the right eye and...
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| Format: | Article |
| Language: | English |
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Elsevier
2021-09-01
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| Series: | American Journal of Ophthalmology Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2451993621001687 |
| _version_ | 1831525300111933440 |
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| author | Thérèse M. Sassalos Albert T. Vitale Christopher D. Conrady |
| author_facet | Thérèse M. Sassalos Albert T. Vitale Christopher D. Conrady |
| author_sort | Thérèse M. Sassalos |
| collection | DOAJ |
| description | Purpose: To describe a patient who developed concurrent acute posterior multifocal placoid pigment epitheliopathy (APMPPE) and posterior scleritis. Observations: We describe a middle-aged woman that developed eye pain and photopsia. She was found to have a “T-sign” on ultrasound of the right eye and multiple, nearly confluent, ill-defined subretinal whitish lesions in both eyes. After an extensive laboratory evaluation and neuroimaging, her photopsia, pain with eye movements, and subretinal lesions began to regress on high dose systemic corticosteroids. Conclusions and Importance: This is the first reported case of bilateral APMPPE and concurrent posterior scleritis. Our case highlights the importance of performing a full review of systems, specifically eliciting neurological changes, and dilated eye examination in all new uveitis cases. |
| first_indexed | 2024-12-16T15:46:58Z |
| format | Article |
| id | doaj.art-c1060565a6554374a345ede721b37206 |
| institution | Directory Open Access Journal |
| issn | 2451-9936 |
| language | English |
| last_indexed | 2024-12-16T15:46:58Z |
| publishDate | 2021-09-01 |
| publisher | Elsevier |
| record_format | Article |
| series | American Journal of Ophthalmology Case Reports |
| spelling | doaj.art-c1060565a6554374a345ede721b372062022-12-21T22:25:46ZengElsevierAmerican Journal of Ophthalmology Case Reports2451-99362021-09-0123101159Posterior scleritis and acute posterior multifocal placoid pigment epitheliopathy: A case of painful chorioretinitis and review of the current literatureThérèse M. Sassalos0Albert T. Vitale1Christopher D. Conrady2Department of Ophthalmology and Visual Sciences, Kellogg Eye Center, University of Michigan, Ann Arbor, MI, USADepartment of Ophthalmology and Visual Sciences, John A. Moran Eye Center, University of Utah, Salt Lake City, UT, USADepartment of Ophthalmology and Visual Sciences, Kellogg Eye Center, University of Michigan, Ann Arbor, MI, USA; Corresponding author.Purpose: To describe a patient who developed concurrent acute posterior multifocal placoid pigment epitheliopathy (APMPPE) and posterior scleritis. Observations: We describe a middle-aged woman that developed eye pain and photopsia. She was found to have a “T-sign” on ultrasound of the right eye and multiple, nearly confluent, ill-defined subretinal whitish lesions in both eyes. After an extensive laboratory evaluation and neuroimaging, her photopsia, pain with eye movements, and subretinal lesions began to regress on high dose systemic corticosteroids. Conclusions and Importance: This is the first reported case of bilateral APMPPE and concurrent posterior scleritis. Our case highlights the importance of performing a full review of systems, specifically eliciting neurological changes, and dilated eye examination in all new uveitis cases.http://www.sciencedirect.com/science/article/pii/S2451993621001687ChoroiditisPosterior scleritisT-signAPMPPEUveitis |
| spellingShingle | Thérèse M. Sassalos Albert T. Vitale Christopher D. Conrady Posterior scleritis and acute posterior multifocal placoid pigment epitheliopathy: A case of painful chorioretinitis and review of the current literature American Journal of Ophthalmology Case Reports Choroiditis Posterior scleritis T-sign APMPPE Uveitis |
| title | Posterior scleritis and acute posterior multifocal placoid pigment epitheliopathy: A case of painful chorioretinitis and review of the current literature |
| title_full | Posterior scleritis and acute posterior multifocal placoid pigment epitheliopathy: A case of painful chorioretinitis and review of the current literature |
| title_fullStr | Posterior scleritis and acute posterior multifocal placoid pigment epitheliopathy: A case of painful chorioretinitis and review of the current literature |
| title_full_unstemmed | Posterior scleritis and acute posterior multifocal placoid pigment epitheliopathy: A case of painful chorioretinitis and review of the current literature |
| title_short | Posterior scleritis and acute posterior multifocal placoid pigment epitheliopathy: A case of painful chorioretinitis and review of the current literature |
| title_sort | posterior scleritis and acute posterior multifocal placoid pigment epitheliopathy a case of painful chorioretinitis and review of the current literature |
| topic | Choroiditis Posterior scleritis T-sign APMPPE Uveitis |
| url | http://www.sciencedirect.com/science/article/pii/S2451993621001687 |
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