๐๐ฃ๐ ๐ฃ๐ฃ๐โฃ
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๐๐ฏ๐ท๐ฆ๐ด๐ต๐ช๐จ๐ข๐ต๐ช๐ฐ๐ฏ๐ดโฃ
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โ ๐๐น๐๐ผ๐ฟ๐ฒ๐๐ฐ๐ฒ๐ถ๐ป ๐๐ป๐ด๐ถ๐ผ๐ด๐ฟ๐ฎ๐บ (๐๐):โ ๐๐ฎ๐ฟ๐น๐ ๐ต๐๐ฝ๐ผ๐ณ๐น๐๐ผ๐ฟ๐ฒ๐๐ฐ๐ฒ๐ป๐ฐ๐ฒ (๐ฏ๐น๐ผ๐ฐ๐ธ๐ฎ๐ด๐ฒ) ๐ฐ๐ผ๐ฟ๐ฟ๐ฒ๐๐ฝ๐ผ๐ป๐ฑ๐ถ๐ป๐ด ๐๐ผ ๐๐ต๐ฒ ๐ฝ๐น๐ฎ๐ฐ๐ผ๐ถ๐ฑ ๐น๐ฒ๐๐ถ๐ผ๐ป๐ ๐ณ๐ผ๐น๐น๐ผ๐๐ฒ๐ฑ ๐ฏ๐ ๐น๐ฎ๐๐ฒ, ๐ถ๐ฟ๐ฟ๐ฒ๐ด๐๐น๐ฎ๐ฟ ๐ต๐๐ฝ๐ฒ๐ฟ๐ณ๐น๐๐ผ๐ฟ๐ฒ๐ฐ๐ฒ๐ป๐ ๐๐๐ฎ๐ถ๐ป๐ถ๐ป๐ดโฃ
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โ ๐๐ฏ๐ฅ๐ฐ๐ค๐บ๐ข๐ฏ๐ช๐ฏ๐ฆ ๐๐ณ๐ฆ๐ฆ๐ฏ (๐๐๐) ๐๐ฏ๐จ๐ช๐ฐ๐จ๐ณ๐ข๐ฎ:โ Early and late hypofluorescence corresponding to the placoid lesionsโฃ
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โ ๐๐ถ๐ฏ๐ฅ๐ถ๐ด ๐ข๐ถ๐ต๐ฐ๐ง๐ญ๐ฐ๐ถ๐ณ๐ฆ๐ด๐ค๐ฆ๐ฏ๐ด๐ฆ (๐๐๐):โ Early and late hypoautoflourescence corresponding to the placoid lesions. Hypoautoflourescence may persist at borders after lesion resolutionโฃ
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โ ๐๐ฑ๐ต๐ช๐ค๐ข๐ญ ๐ค๐ฐ๐ฉ๐ฆ๐ณ๐ฆ๐ฏ๐ค๐ฆ ๐ต๐ฐ๐ฎ๐ฐ๐จ๐ณ๐ข๐ฑ๐ฉ๐บ (๐๐๐):โ Hyperreflectivity from the outer plexiform layer to the RPE with normal retinal thickness in acute lesions. Hyperreflectivity of outer layers resolve along with resolution of the lesion. โฃ
In some cases, subretinal fluid can be seen. โฃ
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โ CNS imaging โshould be performed to rule out CNS vasculitis in all patients with a new diagnosis of APMPPE.โฃ
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๐๐ณ๐ฐ๐จ๐ฏ๐ฐ๐ด๐ช๐ด ๐ข๐ฏ๐ฅ ๐๐ข๐ฏ๐ข๐จ๐ฆ๐ฎ๐ฆ๐ฏ๐ตโฃ
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โ Usually self-limiting with good prognosisโฃ
โ Risk factors for visual loss - foveal involvement at presentation, older age, unilateral disease, longer interval between initial and fellow eye involvement, recurrencesโฃ
โ All patients with a new diagnosis of APMPPE should receive a full neurologic and systemic work-up to evaluate for CNS vasculitis and other associated systemic conditionsโฃ
โ Role of steroids not fully understoodโฃ
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www.ophthalmobytes.comโฃ
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