Placoid pigment epitheliopathy. Presenting with bilateral serous retinal detachment.

Abstract

Gass (I968) described a syndrome affecting adults which he termed "acute posterior multifocal placoid pigment epitheliopathy". The patients present with bilateral visual loss and the condition is characterized by the presence at the posterior pole of multiple non-elevated grey-white lesions at the level of the pigment epithelium. Fluorescein angiography shows that these small lesions occlude the choroidal fluorescence during initial transit of dye, and become hyperfluorescent during subsequent minutes. The condition resolves spontaneously within a few weeks and visual recovery is usually good though it may be incomplete. After recovery scattered areas of depigmentation with pigment clumping remain.