Acute Retinal Pigment Epitheliitis: Spectral Domain Optical Coherence Tomography, Fluorescein Angiography, and Autofluorescence Findings

Figure 1

(a) Fundus photography demonstrating vertically aligned yellow-white hypopigmented areas involving superior (orange arrow), inferior (white arrow), and central foveal regions (arrow head) and other hypopigmented areas superotemporally. (b) Early phase of the FA showing hypofluorescence corresponding to hypopigmented areas that were surrounded by a ring of hyperfluorescence. (c) Late phase of the FA showing increased hyperfluorescence due to staining. (d) FAF showing slightly increased autofluorescence in the corresponding hypopigmented areas. (e)-(f) SD-OCT showing disruption of IS/OS junction with expansion of abnormal hyperreflectivity from retina pigment epithelium (RPE) to the outer nuclear layer (ONL) in the superior and inferior regions (both figures, between the two arrows). (g) SD-OCT showing RPE irregularities with minimal disruption of IS/OS junction in the foveolar lesion (arrowhead).

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