Idiopathic Acute Exudative Polymorphous Vitelliform Maculopathy: Insight into Imaging Features and Outcomes

Figure 1

Right and left eye sequential color fundus photographs. At presentation, bilateral subfoveal serous retinal detachments were identified at the posterior pole (a and a1). One month after the onset of the visual symptoms, multifocal yellowish subretinal material was observed along the vascular temporal arcades (b and b1). Two months later, there is coalescence of the multiple lesions with progressive precipitation of vitelliform material (c and c1). Progressively, at the macular region, a large vitelliform detachment with a “pseudohypopyon” appearance and multiple vitelliform lesions with a honeycomb-like pattern appeared at the posterior pole. In this phase, the vitelliform material acquired a more yellowish coloration due to progressive accumulation (d and d1). One year after diagnosis, complete resolution of fluid with progressive reduction of curvilinear yellowish deposits could be seen.