A Long Term Recurrent Case of Acute Retinal Pigment Epithelitis

ABSTRACT

Purpose

To describe the case of a young adult who developed two episodes of Acute Retinal Pigment Epithelitis (ARPE) in the same eye 7 years apart, describing retinal morphologic changes using SD-OCT scan.

Observations

ARPE is an acute, self-limiting macular disorder characterized by a stippled dark macular lesion surrounded by a hypopigmented halo under fundus examination, corresponding to a foveal disruption of the outer retinal layers and an hyperreflective lesion under SD-OCT scan. Despite ARPE lesions usually appearing to be situated within the macula, a diffuse involvement of the RPE has been suggested¹. SD-OCT scan in our patient showed multiple focal lesions involving the whole posterior pole of the affected eye.

Conclusions and importance

We report the first case where a diffuse involvement of the RPE in the disease is supported by an OCT finding and the case with the longest period between two recurrent self-limited episodes described so far.

KEYWORDS:

• Acute retinal pigment epithelitis
• Krill disease
• optical coherence tomography
• retinal pigment epithelium
• white dot syndromes

Acknowledgments

Paul Carroll provided English language editing and proofreading. No funding or grant support received. The authors report no conflicts of interest.

Authorship

All authors attest that they meet the current ICMJE criteria for Authorship.

Disclosure statement

No potential conflict of interest was reported by the author(s).

Patient consent

The authors certify that they have obtained all appropriate patient consent forms in writing. This report does not contain any personal information that could lead to the identification of the patient.

Additional information

Funding

The author(s) reported there is no funding associated with the work featured in this article.