Acute Posterior Multifocal Placoid Pigment Epitheliopathy (APMPPE) Follow-up

Updated: May 03, 2017
  • Author: Lakshmana M Kooragayala, MD; Chief Editor: C Stephen Foster, MD, FACS, FACR, FAAO, FARVO  more...
  • Print
Follow-up

Further Outpatient Care

Monitor the clinical course of acute posterior multifocal placoid pigment epitheliopathy (APMPPE) every 1-2 weeks and for onset of systemic complications.

Next:

Inpatient & Outpatient Medications

Conservative management is recommended; treat ocular complications or systemic vasculitis as indicated.

Previous
Next:

Complications

See the list below:

  • Subretinal neovascularization
  • Retinal vein occlusion
  • Death or other permanent neurologic sequelae from cerebral vasculitis; may include muscle paralysis and permanent hearing loss
Previous
Next:

Prognosis

In many patients, visual acuity returns to the range of 20/20 to 20/40; however, a small number of patients have permanent visual loss due to choroidal neovascularization.

A few patients have long-term functional ocular symptoms (eg, scotomata, metamorphopsia).

An occasional death has been reported following an episode of cerebral vasculitis.

Other ocular and systemic manifestations of vasculitis usually are self-limited and non–life threatening.

Chorioretinal scarring usually is associated with few visual symptoms. [17]

Previous
Next:

Patient Education

Reassure the patient that in spite of significant vision loss, the visual decrease is usually transient and many patients regain relatively good vision.

Previous