{"id":72922,"date":"2021-11-18T15:15:13","date_gmt":"2021-11-18T15:15:13","guid":{"rendered":"https:\/\/www.atlasrleye.com\/acute-posterior-multifocal-placoid-pigment-epitheliopathy\/"},"modified":"2025-06-27T00:31:15","modified_gmt":"2025-06-27T00:31:15","slug":"acute-posterior-multifocal-placoid-pigment-epitheliopathy","status":"publish","type":"page","link":"https:\/\/www.atlasrleye.com\/en\/acute-posterior-multifocal-placoid-pigment-epitheliopathy\/","title":{"rendered":"ACUTE POSTERIOR MULTIFOCAL PLACOID PIGMENT EPITHELIOPATHY"},"content":{"rendered":"<div class=\"wpb-content-wrapper\"><p>[vc_row][vc_column][vc_custom_heading text=&#8221;CHORIORETINAL INFLAMMATORY DISEASES &#8211; NonInfectious Causes&#8221; font_container=&#8221;tag:h5|font_size:22px|text_align:center|color:%23000000&#8243; use_theme_fonts=&#8221;yes&#8221; link=&#8221;url:https%3A%2F%2Fwww.atlasrleye.com%2Fen%2Fatlas%2F%231636632631784-8a806fcb-acbc|&#8221;][vc_text_separator title=&#8221;&#8221; i_icon_fontawesome=&#8221;fas fa-eye&#8221; i_color=&#8221;custom&#8221; i_size=&#8221;lg&#8221; color=&#8221;custom&#8221; border_width=&#8221;8&#8243; css=&#8221;.vc_custom_1637080776101{margin-bottom: -5px !important;}&#8221; add_icon=&#8221;true&#8221; accent_color=&#8221;#bababa&#8221; i_custom_color=&#8221;#bababa&#8221;][vc_custom_heading source=&#8221;post_title&#8221; font_container=&#8221;tag:h1|font_size:44px|text_align:center|color:%235f1b52&#8243; use_theme_fonts=&#8221;yes&#8221;]<div class=\"ult-spacer spacer-6a03c7a38b813\" data-id=\"6a03c7a38b813\" data-height=\"30\" data-height-mobile=\"0\" data-height-tab=\"\" data-height-tab-portrait=\"\" data-height-mobile-landscape=\"\" style=\"clear:both;display:block;\"><\/div>[\/vc_column][\/vc_row][vc_row][vc_column width=&#8221;3\/4&#8243;][vc_column_text]<\/p>\n<div class=\"w-100 middle-subtext text-justify hidden-text\">\n<p style=\"text-align: justify; font-size: 16px;\">Acute posterior multifocal placoid pigment epitheliopathy (APMPPE) is an inflammatory disorder affecting the retina, retinal pigment epithelium (RPE), and choroid It is more likely to affect healthy patients of 20-40-years of age after a systemic infection.<\/p>\n<p style=\"text-align: justify; font-size: 16px;\">The exact pathological origin of APMPPE remains unknown, but is believed to be a hypersensitivity-induced vasculitis and represents a primary obstruction of the choroidal circulation with secondary RPE degeneration<\/p>\n<p style=\"text-align: justify; font-size: 16px;\">General symptoms include metamorphopsia, photopsia, scotomas, and blurred vision.<\/p>\n<p style=\"text-align: justify; font-size: 16px;\">Fundus examination reveals multiple yellow-white placoid subretinal lesions of the posterior pole, usually bilateral and asymmetric. Fluorescein angiogram shows typically early-stage hypofluorescent placoid areas and late-stage hyperfluorescent lesions.<\/p>\n<p style=\"text-align: justify; font-size: 16px;\">It resolves in weeks to months but leaves scattered areas of RPE atrophy and hyperplasia.<\/p>\n<p style=\"font-size: 16px;\">Differential Diagnosis:<\/p>\n<ul>\n<li style=\"font-size: 16px;\">Multifocal Choroiditis<\/li>\n<li style=\"font-size: 16px;\">Sarcoidosis<\/li>\n<li style=\"font-size: 16px;\">Vogt-Koyanagi-Harada disease<\/li>\n<li style=\"font-size: 16px;\">White Dot Syndromes<\/li>\n<\/ul>\n<\/div>\n<p>[\/vc_column_text][\/vc_column][vc_column width=&#8221;1\/4&#8243;][vc_images_carousel images=&#8221;11031,11030&#8243; img_size=&#8221;medium&#8221; speed=&#8221;2000&#8243; autoplay=&#8221;yes&#8221; hide_pagination_control=&#8221;yes&#8221; wrap=&#8221;yes&#8221; css=&#8221;.vc_custom_1750976517076{margin-bottom: 10px !important;}&#8221;]<div class=\"stats-block stats-left  \"><div class=\"aio-icon-left\"><div class=\"ult-just-icon-wrapper  \"><div class=\"align-icon\" style=\"text-align:center;\">\n<div class=\"aio-icon square \"  style=\"color:#333333;background:#ffffff;font-size:32px;display:inline-block;\">\n\t<i class=\"Defaults-eye\"><\/i>\n<\/div><\/div><\/div><\/div><div class=\"stats-desc\" id=\"counter-responsv-wrap-3528\"><div id=\"counter_33967040606a03c7a38b9a6\" data-id=\"counter_33967040606a03c7a38b9a6\"  data-ultimate-target='#counter-responsv-wrap-3528 .stats-number'  data-responsive-json-new='{\"font-size\":\"\",\"line-height\":\"\"}'  class=\"stats-number ult-responsive\" style=\"font-size:28px;  \" data-speed=\"3\" data-counter-value=\"1\" data-separator=\",\" data-decimal=\".\">0<\/div><div id=\"title-counter_33967040606a03c7a38b9a6\"  data-ultimate-target='#counter-responsv-wrap-3528 .stats-text'  data-responsive-json-new='{\"font-size\":\"desktop:16px;\",\"line-height\":\"\"}'  class=\"stats-text ult-responsive\" style=\"font-size:px;  font-weight:bold;\">Clinical Cases<\/div><\/div><\/div>[\/vc_column][\/vc_row][vc_row][vc_column][vc_column_text css=&#8221;.vc_custom_1750976532177{margin-bottom: 10px !important;}&#8221;]<\/p>\n<h1><strong><span style=\"color: #5f1b52;\">Clinical Cases<\/span><\/strong><\/h1>\n<p>[\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column width=&#8221;1\/4&#8243;][vc_column_text css=&#8221;.vc_custom_1750976559897{margin-bottom: 0px !important;}&#8221;]<\/p>\n<h4 style=\"text-align: left;\"><a href=\"https:\/\/www.atlasrleye.com\/en\/acute-posterior-multifocal-placoid-pigment-epitheliopathy\/clinical-case-1\/\">Clinical Case 1<\/a><\/h4>\n<p>[\/vc_column_text][vc_gallery type=&#8221;image_grid&#8221; images=&#8221;11030,11031&#8243; img_size=&#8221;150&#8243; css=&#8221;.vc_custom_1750976627248{margin-bottom: 10px !important;margin-left: -20px !important;}&#8221;][vc_row_inner][vc_column_inner width=&#8221;1\/5&#8243; offset=&#8221;vc_col-xs-1\/5&#8243;]<div class=\"aio-icon-component    style_1\"><div id=\"Info-box-wrap-2583\" class=\"aio-icon-box default-icon\" style=\"\"  ><div class=\"aio-icon-default\"><div class=\"ult-just-icon-wrapper  \"><div class=\"align-icon\" style=\"text-align:center;\">\n<div class=\"aio-icon none \"  style=\"color:#5f1b52;font-size:16px;display:inline-block;\">\n\t<i class=\"Defaults-calendar\"><\/i>\n<\/div><\/div><\/div><\/div><div class=\"aio-icon-header\" ><h3 class=\"aio-icon-title ult-responsive\"  data-ultimate-target='#Info-box-wrap-2583 .aio-icon-title'  data-responsive-json-new='{\"font-size\":\"\",\"line-height\":\"\"}'  style=\"color:#5f1b52;\">2<\/h3><\/div> <!-- header --><\/div> <!-- aio-icon-box --><\/div> <!-- aio-icon-component -->[\/vc_column_inner][vc_column_inner width=&#8221;1\/5&#8243; offset=&#8221;vc_col-xs-1\/5&#8243;]<div class=\"aio-icon-component    style_1\"><div id=\"Info-box-wrap-7658\" class=\"aio-icon-box default-icon\" style=\"\"  ><div class=\"aio-icon-default\"><div class=\"ult-just-icon-wrapper  \"><div class=\"align-icon\" style=\"text-align:center;\">\n<div class=\"aio-icon none \"  style=\"color:#5f1b52;font-size:16px;display:inline-block;\">\n\t<i class=\"Defaults-camera\"><\/i>\n<\/div><\/div><\/div><\/div><div class=\"aio-icon-header\" ><h3 class=\"aio-icon-title ult-responsive\"  data-ultimate-target='#Info-box-wrap-7658 .aio-icon-title'  data-responsive-json-new='{\"font-size\":\"\",\"line-height\":\"\"}'  style=\"color:#5f1b52;\">28<\/h3><\/div> <!-- header --><\/div> <!-- aio-icon-box --><\/div> <!-- aio-icon-component -->[\/vc_column_inner][vc_column_inner width=&#8221;1\/5&#8243; offset=&#8221;vc_col-xs-1\/5&#8243;]<div class=\"aio-icon-component    style_1\"><div id=\"Info-box-wrap-6195\" class=\"aio-icon-box default-icon\" style=\"\"  ><div class=\"aio-icon-default\"><div class=\"ult-just-icon-wrapper  \"><div class=\"align-icon\" style=\"text-align:center;\">\n<div class=\"aio-icon none \"  style=\"color:#5f1b52;font-size:16px;display:inline-block;\">\n\t<i class=\"Defaults-film\"><\/i>\n<\/div><\/div><\/div><\/div><div class=\"aio-icon-header\" ><h3 class=\"aio-icon-title ult-responsive\"  data-ultimate-target='#Info-box-wrap-6195 .aio-icon-title'  data-responsive-json-new='{\"font-size\":\"\",\"line-height\":\"\"}'  style=\"color:#5f1b52;\">0<\/h3><\/div> <!-- header --><\/div> <!-- aio-icon-box --><\/div> <!-- aio-icon-component -->[\/vc_column_inner][\/vc_row_inner][\/vc_column][\/vc_row]<\/p>\n<\/div>","protected":false},"excerpt":{"rendered":"<p>[vc_row][vc_column][vc_custom_heading text=&#8221;CHORIORETINAL INFLAMMATORY DISEASES &#8211; NonInfectious Causes&#8221; font_container=&#8221;tag:h5|font_size:22px|text_align:center|color:%23000000&#8243; use_theme_fonts=&#8221;yes&#8221; link=&#8221;url:https%3A%2F%2Fwww.atlasrleye.com%2Fen%2Fatlas%2F%231636632631784-8a806fcb-acbc|&#8221;][vc_text_separator title=&#8221;&#8221; i_icon_fontawesome=&#8221;fas fa-eye&#8221; i_color=&#8221;custom&#8221; i_size=&#8221;lg&#8221; color=&#8221;custom&#8221; border_width=&#8221;8&#8243; css=&#8221;.vc_custom_1637080776101{margin-bottom: -5px !important;}&#8221; add_icon=&#8221;true&#8221; accent_color=&#8221;#bababa&#8221; i_custom_color=&#8221;#bababa&#8221;][vc_custom_heading source=&#8221;post_title&#8221; font_container=&#8221;tag:h1|font_size:44px|text_align:center|color:%235f1b52&#8243; use_theme_fonts=&#8221;yes&#8221;][\/vc_column][\/vc_row][vc_row][vc_column width=&#8221;3\/4&#8243;][vc_column_text] Acute posterior multifocal placoid pigment epitheliopathy (APMPPE) is an inflammatory disorder affecting the [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"class_list":["post-72922","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/www.atlasrleye.com\/en\/wp-json\/wp\/v2\/pages\/72922","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.atlasrleye.com\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.atlasrleye.com\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.atlasrleye.com\/en\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/www.atlasrleye.com\/en\/wp-json\/wp\/v2\/comments?post=72922"}],"version-history":[{"count":22,"href":"https:\/\/www.atlasrleye.com\/en\/wp-json\/wp\/v2\/pages\/72922\/revisions"}],"predecessor-version":[{"id":116334,"href":"https:\/\/www.atlasrleye.com\/en\/wp-json\/wp\/v2\/pages\/72922\/revisions\/116334"}],"wp:attachment":[{"href":"https:\/\/www.atlasrleye.com\/en\/wp-json\/wp\/v2\/media?parent=72922"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}