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Yamelys Adasme, Aristides J. Mendoza, Mónica A. Garay, José V. Sarabia; Atypical Posterior Multifocal Epithelitis: 2 Case Reports. Invest. Ophthalmol. Vis. Sci. 2012;53(14):979.
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To describe an unusual choroidopathy resembling acute posterior multifocal placoid pigment epitheliopathy (APMPPE) and serpiginous choroiditis.
We studied 2 patients, aged 57 and 73 years, exhibiting this unusual entity, they were evaluated clinically and complementary exams were performed (laboratory, fluorescein angiography and optical coherence tomography) through the patology course.
Clinically and fluorescein angiography findings to the acute retinal lesions in both patients were similar to those of APMPPE or serpiginous choroiditis. However, the clinical course, number of lesions, location and resolution of these lesions were atypical. Growth of subacute lesions and the appearance of new lesions continued, at least for one of the cases, during 6 months after the initial examination. Relapses and subretinal cicatrization compromised the final visual acuity.
These cases had clinical features similar to APMPPE and serpiginous choroiditis with a prolonged progressive clinical course, widespread distribution and atypical resolution of the lesions. It may represent a variant of serpiginous choroiditis or may be a new entity.
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