Acute posterior multifocal placoid pigment epitheliopathy. Pigment epitheliopathy of choriocapillaritis?

Abstract

Gass (I968) presented the clinical and fluorescein angiographic findings in three young female patients showing rapid loss of central vision secondary to multifocal, yellow-white, placoid lesions at the level of the pigment epithelium and choroid; rapid resolution of these lesions with permanent alterations in the pigment epithelium and minimal damage to the adjacent choroid and retina; and significant visual improvement after apparent ophthal- moscopic resolution of the acute lesion. The lesions were located at the posterior pole, and despite extensive general physical examination and blood studies no aetiology could be found. Gass wondered about the significance of a positive tuberculin skin test in two patients and of a family history of tuberculosis in the third patient.