Acute Exudative Polymorphous Vitelliform Maculopathy Syndrome; natural history and evolution of fundal and OCT images over time.
Patrick J MurtaghMaxwell TreacyKirk StephensonIan DooleyPublished in: BMJ case reports (2018)
A 33-year-old man presented with a 10-day history of bilateral blurred vision on a background of a prodromal influenza-like illness. Ocular Coherence Tomography (OCT) and fundal examination coincided with a diagnosis of atypical central serous retinopathy. The patient's symptoms worsened during follow-up, and he was started on steroids. Subsequent fundal examination revealed yellow deposits in a honeycomb pattern and hard exudates in the perimacular region. Serial OCTs revealed progression of bilateral macular intraretinal and subretinal fluid. He was subsequently admitted to hospital for a full paraneoplastic workup. Liaison with our colleagues in other specialist retinal centres led us to a diagnosis of acute exudative polymorphous vitelliform maculopathy syndrome. We subsequently took fundal images to monitor disease progression and to monitor changes seen with autofluorescence in this rare disease entity.
Keyphrases
- optical coherence tomography
- case report
- diabetic retinopathy
- liver failure
- optic nerve
- respiratory failure
- age related macular degeneration
- drug induced
- high grade
- single cell
- deep learning
- aortic dissection
- palliative care
- healthcare
- convolutional neural network
- parkinson disease
- hepatitis b virus
- machine learning
- emergency department
- physical activity
- intensive care unit
- extracorporeal membrane oxygenation