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CASE REPORT
Year : 2022  |  Volume : 36  |  Issue : 4  |  Page : 387-389

Acute posterior multifocal placoid pigment epitheliopathy associated with infectious mononucleosis: A rare presentation


1 Department of Ophthalmology, Derince Training and Research Hospital, University of Health Sciences, w, Turkey
2 Department of Medical Microbiology, Kocaeli University Kocaeli, Turkey
3 Department of Ophthalmology, Kocaeli University Kocaeli, Turkey

Correspondence Address:
Dr. Ecem O Tokuc
Department of Ophthalmology, Derince Training and Research Hospital, University of Health Sciences, İbni Sina Mahallesi Lojman Sokak, 41900 Derince, Kocaeli
Turkey
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/SJOPT.SJOPT_95_21

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This case report describes the association between acute posterior multifocal placoid pigment epitheliopathy (APMPPE) and Epstein–Barr virus (EBV) infection. A 26-year-old female presented with acute bilateral blurred vision and paracentral scotoma. The patient also had prodromal flu-like symptoms. Funduscopic examination showed bilateral yellow-white placoid lesions at the level of retinal pigment epithelium (RPE). Fluorescein Angiography showed characteristic early hypofluorescence and late hyperfluorescence of the lesions. The diagnosis of APMPPE was made based on these findings. Laboratory investigation showed a positive result for EBV serology test. Severe dry eye symptoms were presented at the end of 6-month follow-up. APMPPE may be associated with acute systemic EBV infection.


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