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Long-term Visual Function in Acute Posterior Multifocal Placoid Pigment Epitheliopathy
Mitchell D. Wolf, MD;
Wallace L. M. Alward, MD;
James C. Folk, MD
Arch Ophthalmol. 1991;109(6):800-803.
Abstract
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• Acute posterior multifocal placoid pigment epitheliopathy is a chorioretinal inflammatory disease occurring in young, healthy adults. The long-term visual prognosis and recurrence rate is uncertain. We reexamined 28 patients (53 affected eyes) with acute posterior multifocal placoid pigment epitheliopathy (mean follow-up, 8 years) to obtain details on the long-term functional visual outcome. The final visual acuities were 20/25 or better in 48 eyes (90.6%), 20/30 to 20/100 in four eyes (7.5%), and 20/200 in one eye (1.9%). Although the final visual acuity was good, 33 eyes (62.3%) were symptomatic with blurred vision, metamorphopsia, or scotomas. Thirty-six eyes (67.9%) had significant central visual field defects on follow-up examination. There were no recurrences after the initial month of symptoms. The chorioretinal scars did not enlarge with time. Acute posterior multifocal placoid pigment epitheliopathy has a good longterm prognosis for visual acuity, although most patients have residual symptoms and paracentral scotomas.
Author Affiliations
From the Department of Ophthalmology, University of Iowa, Iowa City.
Footnotes
Accepted for publication January 2, 1991.
Presented as a poster at the American Academy of Ophthalmology meeting, New Orleans, La, October 29, 1989.
Reprint requests to Department of Ophthalmology, University of Iowa Hospitals and Clinics, Iowa City, IA 52242 (Dr Folk).
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