Dr.Divya Alex, A15662
Case report of a 59 year old female who presented with subacute loss of vision in both the eyes for past one year. Fundoscopy revealed the presence of bilateral and symmetric large serous macular detachment (SMD) with crescentic vitelliform material and the presence of bleb-like honeycomb lesions along vascular arcades.IR and FAF displayed the prominence of honeycomb pattern.SD OCT displayed dome shaped SMD involving the whole posterior pole with thick hyperreflectivity at the ellipsoid zone. FFA,ICG showed masked choroidal fluorecent patches in posterior pole. Electrophysiologic test being normal.
Conclusion: Any middle aged patient complaining of subacute vision loss with bilateral vitelliform lesion (mimicking Best disease/ genetic) AEPVM should be considered as a differential which is unique in having a good visual prognosis.
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