NR 5/2003
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Ostra wieloogniskowa tylna epiteliopatia -
opis przypadku
Acute posterior multifocal epitheliopathy - case
report
Piotr Fryczkowski, Maria Kmera-Muszyńska, Marcin Grzegorz Prost
Z Katedry i Kliniki Okulistycznej II Wydziału Akademii Medycznej w Warszawie
Kierownik: prof. dr hab. n. med. Jerzy Szaflik |
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| Summary: |
Purpose: To present an atypical course of
acute posterior multifocal placoid epitheliopathy.
Materials and methods: 59 years-old diabetic man was seen at emergency
because of a few days history of blurred vision in his right eye. Ophthalmologic
examination revealed patches of blurred margine, multiple, yellowish lesions 1 - 2 dd in
the fundus in both eyes. There were also lesions typical for non proliferative diabetic
retinopathy like microaneurysms, dot and blot intraretinal hemorrhages and hard exudates.
Optic discs and blood vessels were normal. We found peripheral drusen extending from the
equator to the ora serata in both eyes. During 8 months of observation, we performed three
times ophthalmologic examination, fluorescein and indocyanine green angiographies, USG A
and B. No treatment was given.
Conclusions: There is disagreement about the site of origin of placoid
lesions, etiology and pathogenesis in acute posterior multifocal placoid epitheliopathy.
In our report we agree with thesis, that the choriocapillaris are the primary site of the
break. We propose, that different duration of the APMPPE and recurrences are directly
proportional to the state and quality of the blood vessels. The possible explanation for
longstanding lesions in our patient is diabetic damage of the capillaries in the retina
and choroid. |
| Słowa kluczowe: |
epiteliopatia, angiografia fluoresceinowa, angiografia
indocyjaninowa. |
| Key words: |
epitheliopathy, fluorescein angiography, indocyanine green
angiography. |
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